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1831737949 NPI number — SUMONA MITCHELL CERTIFIED HAIR LOSS

NPI Number: 1831737949
Health Care Provider/Practitioner: SUMONA MITCHELL CERTIFIED HAIR LOSS

Information about “1831737949” NPI (SUMONA MITCHELL CERTIFIED HAIR LOSS) exists in 1831737949 in HTML format HTML  |  1831737949 in plain Text format TXT  |  1831737949 in PDF (Portable Document Format) PDF  |  1831737949 in an XML format XML  formats.

NPI Number : 1831737949 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831737949",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MITCHELL",
    "FirstName": "SUMONA",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "CERTIFIED HAIR LOSS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BROWN",
    "OtherFirstName": "SUMONA",
    "OtherMiddleName": null,
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "CERTIFIED HAIR LOSS",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1800 STALEY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAVANNAH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31405-3836",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-260-7427",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1100 EISENHOWER DRIVE 15",
    "SecondLinePracticeLocationAddress": "SUITE 7",
    "PracticeLocationAddressCityName": "SAVANNAH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31406",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "912-499-9733",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2019",
    "LastUpdateDate": "12/19/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1744P3200X",
        "TaxonomyName": "Prosthetics Case Management",
        "LicenseNumber": "CO093671",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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