MIAZ HAIR GALLERY (NPI# 1013552371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013552371 |
| Entity Type | Organization |
| Organization Name | MIAZ HAIR GALLERY |
| Practice Address |
1031 Railroad St Nw Ste C Conyers GA 30012-5108 |
| Mailing Address |
Po Box 906 Conyers GA 30012-0906 |
| Practice Telephone | 7707831878 |
| Mailing Telephone | 7707831878 |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | JAMIELA ODUM (OWNER) |
| Authorized Official Telephone | 7707831878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1031 RAILROAD ST NW STE C |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582156 | Wanda Woods | Specialist | 3672 Shale Ln Se, Conyers, GA 30013-5112 | 2018-06-20 |
| 1124329628 | Oscar Cornell Gaines | Specialist | 1380 Dogwood Dr Se, Conyers, GA 30013-5039 | 2010-11-15 |
| 1790839157 | Richard M. Robinson, M.d. P.C. | Specialist | 3240 Avalon Boulevard, Conyers, GA 30013-6320 | 2007-01-23 |
| 1942366174 | Richard Alan Gordon | Specialist | 1145 Winterberry Way Se, Conyers, GA 30013-2446 | 2006-12-30 |
| 1871654509 | Chandar Bhimani | Specialist | 1412 Milstead Ave Ne Ste 300, Conyers, GA 30012-3877 | 2006-12-13 |
| 1861550410 | Womens Healthcare and Aesthetics | Specialist | 1403 Manchester Dr Ne, Conyers, GA 30012-3879 | 2006-12-05 |
| 1609845403 | Jack Donald James | Specialist | 1380 Milstead Ave Ne, Suite B, Conyers, GA 30012-3864 | 2006-03-15 |
| 1083689533 | Michael Jerome Grady | Specialist | 1311 Milstead Ave Ne, Conyers, GA 30012-3829 | 2006-02-20 |
| 1235119207 | Mohamad El-attar | Specialist | 1372 Wellbrook Circle Ne, Conyers, GA 30012 | 2006-01-18 |
| 1154713253 | Kalie Darnell Hair Team | Specialist | 425 Sigman Rd Nw, Suite 120, Conyers, GA 30012-3635 | 2015-02-26 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.