MEDICARE: FEARLESS BEAUTY COMPANY

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	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1275155749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FEARLESS BEAUTY COMPANY

Provider Business Mailing Address
First Line	:	611 S PEAR ORCHARD RD # 771
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-4836
Country	:	US
Telephone Number	:	601-218-9816
Fax Number	:

Provider Business Practice Location Address
First Line	:	611 S PEAR ORCHARD RD # 771
Second Line	:
City	:	RIDGELAND
State	:	MS
Zip	:	39157-4836
Country	:	US
Telephone Number	:	601-218-9816
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA SMITH
Credential	:
Telephone Number	:	601-218-9816

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

Similar Medicare Providers

1205900958 — ADVANCED MEDICAL, LLC
Practice Location Address:

625 S PEAR ORCHARD RD STE A
RIDGELAND, MS
39157-4836

Practice Phone: 769-233-8484
Practice Fax:

1811060544 — TOLLEY VALERIE
Practice Location Address:

625 S PEAR ORCHARD RD
RIDGELAND, MS
39157-4836

Practice Phone: 601-420-0064
Practice Fax: 601-420-0223

1760706840 — ARTHUR DELASHMET DPH
Practice Location Address:

625 S PEAR ORCHARD RD
RIDGELAND, MS
39157-4836

Practice Phone: 769-233-8484
Practice Fax:

1407104391 — VALERIE HARDEN
Practice Location Address:

625 S PEAR ORCHARD RD
RIDGELAND, MS
39157-4836

Practice Phone: 601-420-0064
Practice Fax:

1083040562 — DR. AMANDA B GREENE DNP, NP-C
Practice Location Address:

625 S PEAR ORCHARD RD , STE B
RIDGELAND, MS
39157-4836

Practice Phone: 601-499-0282
Practice Fax: 601-499-0347

1104201789 — HEALTH CARE MEDICAL
Practice Location Address:

625 S PEAR ORCHARD RD , SUITE A
RIDGELAND, MS
39157-4836

Practice Phone: 601-420-0064
Practice Fax:

Directions to “FEARLESS BEAUTY COMPANY ” 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.