Healthcare Provider Details
I. General information
NPI: 1336087360
Provider Name (Legal Business Name): MEGA BEAUTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
806 GREEN VALLEY RD
GREENSBORO NC
27408-7042
US
IV. Provider business mailing address
7309 BEAVER RUN DR
FAYETTEVILLE NC
28314-5161
US
V. Phone/Fax
- Phone: 704-498-2255
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CRYSTAL
MCLAUGHLIN
Title or Position: CEO
Credential:
Phone: 704-498-2255