MEDICARE: HONEYILUVMYHAIRLLC

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	:	1306608443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HONEYILUVMYHAIRLLC

Provider Business Mailing Address
First Line	:	1916 GLENWOOD AVE SE # A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2314
Country	:	US
Telephone Number	:	678-758-1558
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 GLENWOOD AVE SE # A
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-2314
Country	:	US
Telephone Number	:	404-786-5076
Fax Number	:	833-815-0181

Authorized Official
Title or Position	:	OWNER
Name	:	NAOMI WRIGHT
Credential	:
Telephone Number	:	404-786-5076

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	01/24/2024

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