1780773291 NPI number — THE PERFECT FIT SALON INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780773291 NPI number — THE PERFECT FIT SALON INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PERFECT FIT SALON INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780773291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
798 RED BUD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CALHOUN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-625-3777
Provider Business Mailing Address Fax Number:
706-625-5554

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1300 NORTH THORNTON RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
DALTON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-217-2678
Provider Business Practice Location Address Fax Number:
706-278-4347
Provider Enumeration Date:
10/12/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GRIFFIN
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
BEN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
706-217-2678

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)