IAN BRADLEY HAIR SALON LLC NPI 1265158455

NPI Information

  • NPI: 1265158455
  • Provider Name: IAN BRADLEY HAIR SALON LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 3902 NORTHSIDE DR STE A3
    MACON, GA
    ZIP 31210
  • Phone: (478) 845-1210

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NPI Details

IAN BRADLEY HAIR SALON LLC is a durable medical equipment medical supplies in Macon, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. IAN BRADLEY HAIR SALON LLC NPI is 1265158455. The provider is registered as an organization entity type.

The provider's business location address is:

3902 NORTHSIDE DR STE A3
MACON, GA
ZIP 31210-459
Phone: (478) 845-1210

The provider's authorized official is Melissa R Mccoy .
The authorized official title is Manager and has the following contact phone number (478) 714-4302.

The enumeration date for this NPI number is 10/18/2022 and was last updated on 10/18/2022.

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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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