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BELLA MONIQUE LLC NPI 1285393439


NPI Information

NPI: 1285393439
Provider Name: BELLA MONIQUE LLC

Doing Business As: ELITE MEDICAL WIGS LLC

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
1445 WOODMONT LN NW # 1205
ATLANTA, GA
ZIP 30318
Phone: (912) 288-5907
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BELLA MONIQUE LLC is a prosthetic orthotic supplier in Atlanta, GA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. BELLA MONIQUE LLC NPI is 1285393439. The provider is registered as an organization entity type.
The provider Is Doing Business As Elite Medical Wigs Llc.

The provider's business location address is:

1445 WOODMONT LN NW # 1205
ATLANTA, GA
ZIP 30318-866
Phone: (912) 288-5907
Fax: (912) 452-1130

The provider's authorized official is Shavonne Bellamy .
The authorized official title is Ceo and has the following contact phone number (912) 722-3281.

The enumeration date for this NPI number is 12/15/2021 and was last updated on 2/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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