MEDICARE: TO THE ROOT OF THINGS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1679819692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TO THE ROOT OF THINGS

Provider Business Mailing Address
First Line	:	6077 BENA CT
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-1044
Country	:	US
Telephone Number	:	770-256-8467
Fax Number	:

Provider Business Practice Location Address
First Line	:	6077 BENA CT
Second Line	:
City	:	UNION CITY
State	:	GA
Zip	:	30291-1044
Country	:	US
Telephone Number	:	770-256-8467
Fax Number	:

Authorized Official
Title or Position	:	HAIR LOSS SPECIALIST
Name	:	BRANDIE NICHOL JACKSON
Credential	:
Telephone Number	:	770-256-8467

Provider Enumeration Date	:	12/19/2012
Last Update Date	:	12/19/2012

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1396151171 — OU MEDICINE INC.
Practice Location Address:

800 NE 10TH ST STE 1044
OKLAHOMA CITY, OK
73104-5418

Practice Phone: 405-271-1488
Practice Fax: 405-271-1633

1528713310 — OU MEDICINE INC.
Practice Location Address:

800 NE 10TH ST # 1044
OKLAHOMA CITY, OK
73104-5418

Practice Phone: 405-271-1488
Practice Fax: 405-271-1633

1306841903 — HOUSHANG SERADGE MD
Practice Location Address:

1044 SW 44TH ST , SUITE 518
OKLAHOMA CITY, OK
73109-3613

Practice Phone: 405-634-4263
Practice Fax: 405-634-4267

1104821792 — RAJENDRA AMIN MD
Practice Location Address:

1044 S.W. 44TH ST.
OKLAHOMA CITY, OK
73109

Practice Phone: 405-631-4263
Practice Fax: 405-631-4820

1730184326 — JOHN MATTHEW NAVARRO MD
Practice Location Address:

1044 SW 44TH ST , STE 600
OKLAHOMA CITY, OK
73109-3611

Practice Phone: 405-631-4263
Practice Fax: 405-631-4820

Directions to “TO THE ROOT OF THINGS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.