Healthcare Provider Details

I. General information

NPI: 1679482673
Provider Name (Legal Business Name): UNC STYLE BARBERSHOP AND SUITES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 E BROADWAY BLVD
JEFFERSON CITY TN
37760-2810
US

IV. Provider business mailing address

2348 W ANDREW JOHNSON HWY # 127
MORRISTOWN TN
37814-3208
US

V. Phone/Fax

Practice location:
  • Phone: 423-383-3165
  • Fax: 423-220-8255
Mailing address:
  • Phone: 423-383-3165
  • Fax: 423-220-8255

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: JANET F HITE
Title or Position: OWNER
Credential:
Phone: 423-383-3165