GLAM SHE LLC


Address: 4070 San Marco Way, Douglasville, GA 30135-2769
Phone: 4044346689

GLAM SHE LLC (NPI# 1033657143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033657143
Entity Type Organization
Organization Name GLAM SHE LLC
Practice Address 4070 San Marco Way
Douglasville
GA 30135-2769
Practice Telephone 4044346689
Enumeration Date 2017-02-09
Last Update Date 2017-02-09
Authorized Official Name FRENCHELL JACKSON (OWNER)
Authorized Official Telephone 4044346689
Authorized Official Credential PROTHESIS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service CO131281 GA Managed Care Organizations

Other Provider Identifier

State Issuer Identifier Type Code
GA CERTIFIED HAIR LOSS SPECIALIST 1744P3200X 01

Office Location

Street Address 4070 SAN MARCO WAY
City DOUGLASVILLE
State GA
Zip Code 30135-2769

Providers in the same zip code

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1457825358 Marcia Ann-marie Wilson Nurse Practitioner 4279 Caroline Court, Douglasville, GA 30135 2019-01-14
1225564917 Danielle Doebereiner-brown Nurse Practitioner 3872 Ga-5, Douglasville, GA 30135 2017-05-02
1851832430 Jennifer Williams Physical Therapist 4999 Presley Mill Rd, Douglasville, GA 30135 2017-03-15
1316484686 Geneva Brent Licensed Practical Nurse 2109 Fairburn Road, Douglasville, GA 30135 2017-01-25
1659816288 Stephanie Walthour Marriage & Family Therapist 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 2017-01-05
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578827267 Mission On The Move Ministries Inc. Point of Service 3945 Yeager Rd, Douglasville, GA 30135-3852 2012-06-27
1255668794 Bellam Enterprises Inc. Point of Service 1394 E Stoneybrook Dr, Douglasville, GA 30134-2803 2009-11-04
1265638910 Grace Assisted Living of Douglasville, LLC Point of Service 8847 Hospital Dr, Douglasville, GA 30134-2267 2007-06-21

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1437712122 Wish You Well Youth Faith Foundation Inc Point of Service 9456 S Main St Ste D4, Jonesboro, GA 30236-6074 2019-04-17
1114412632 Healthy Living Now Inc Point of Service 8174 Spring Ct, Riverdale, GA 30274-4317 2018-06-27
1629519202 Nurse Practioner Point of Service 4044 George Busbee Pkwy Nw Apt 4207, Kennesaw, GA 30144-6890 2017-03-15
1992248298 New Legacy Counseling and Training Center Point of Service 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 2016-11-18
1245682079 Butterfly Gardens Hopice & Palliative Care, LLC Point of Service 3112 Blackmon Ct, Hephzibah, GA 30815-7064 2016-07-05
1194179861 A Humbling Spirit Family Practice, Inc. Point of Service 2412 Horseshoe Bend Rd Sw, Marietta, GA 30064-4412 2016-04-19
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Competitor

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City DOUGLASVILLE
Zip Code 30135

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Dataset Information

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.

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