Healthcare Provider Details

I. General information

NPI: 1255267951
Provider Name (Legal Business Name): ANGELA ZANDERS BEAUTY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E FORSYTH ST STE G
AMERICUS GA
31709-3857
US

IV. Provider business mailing address

1600 E FORSYTH ST
AMERICUS GA
31709-3856
US

V. Phone/Fax

Practice location:
  • Phone: 229-942-7548
  • Fax: 229-942-7548
Mailing address:
  • Phone: 229-942-7548
  • Fax: 229-942-7548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ANGELA D ZANDERS
Title or Position: ANGELA ZANDERS
Credential: HAIR LOSS SPECIALIST
Phone: 229-942-7548