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JACQUE MONAE LLC NPI 1518595479


NPI Information

NPI: 1518595479
Provider Name: JACQUE MONAE LLC

Doing Business As: J.MONAE WIGS & HAIR LOSS CENTER

Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

Address:
4955 SUGARLOAF PKWY STE 104
LAWRENCEVILLE, GA
ZIP 30044
Phone: (470) 599-3145
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JACQUE MONAE LLC is a prosthetics case management specialist in Lawrenceville, GA. JACQUE MONAE LLC NPI is 1518595479. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As J.monae Wigs & Hair Loss Center.

The provider's business location address is:

4955 SUGARLOAF PKWY STE 104
LAWRENCEVILLE, GA
ZIP 30044-838
Phone: (470) 599-3145

The provider's authorized official is Jacque Mckenzie .
The authorized official title is Owner and has the following contact phone number (470) 599-3145.

The enumeration date for this NPI number is 3/27/2020 and was last updated on 3/27/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11744P3200XSpecialistProsthetics Case ManagementYes

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: 11/14/2023

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