Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAWANNA EASLEY, COSMETOLOGIST
Active Sole ProprietorTAWANNA EASLEY, COSMETOLOGIST is a Prosthetic/Orthotic Supplier healthcare provider located in COLLEGE PARK, Georgia. NPI 1073392130 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · COLLEGE PARK, GA
Registration Details
- NPI Number
- 1073392130
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2023 (2.8996214625091 yrs)
- Last Updated
- Sep 27, 2023
- Licenses
-
CO093582 (GA)CO093582 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2900 LAJEAN DRCOLLEGE PARK, GA, 303494148Browse GA providers · Browse ZIP 30349
- Phone
- 6784376348
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
- Additional Specialty
- Prosthetic/Orthotic Supplier
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.