Provider Demographics
NPI:1225602733
Name:STYLEZ BY GIANNA LUXURY HAIR & WIGS
Entity Type:Organization
Organization Name:STYLEZ BY GIANNA LUXURY HAIR & WIGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GIANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-306-1013
Mailing Address - Street 1:45 BOY SCOUT CT
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2077
Mailing Address - Country:US
Mailing Address - Phone:706-306-1013
Mailing Address - Fax:
Practice Address - Street 1:270 BOBBY JONES EXPY STE 158
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3086
Practice Address - Country:US
Practice Address - Phone:706-306-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies