FONTONYA MYRICK CERT HAIR LOSS SPEC NPI 1760874853

NPI Information

  • NPI: 1760874853
  • Provider Name: FONTONYA MYRICK, CERT HAIR LOSS SPEC
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 330 ARROWHEAD BLVD
    APT. 18A
    JONESBORO, GA
    ZIP 30236
  • Phone: (470) 216-8183

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NPI Details

Fontonya Myrick, CERT HAIR LOSS SPEC is a prosthetics case management specialist in Jonesboro, GA. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Fontonya Myrick, CERT HAIR LOSS SPEC NPI is 1760874853. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 ARROWHEAD BLVD
APT. 18A
JONESBORO, GA
ZIP 30236-105
Phone: (470) 216-8183

The enumeration date for this NPI number is 2/26/2015 and was last updated on 2/26/2015.

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
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: 3/30/2025

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