Provider Demographics
NPI:1225638448
Name:FERRON, SHARIYFA (HAIR LOSS SPECIALIST)
Entity Type:Individual
Prefix:
First Name:SHARIYFA
Middle Name:
Last Name:FERRON
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 GALLERY WALK
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30039-4736
Mailing Address - Country:US
Mailing Address - Phone:770-378-5195
Mailing Address - Fax:
Practice Address - Street 1:1864 SCENIC HWY N STE 112
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-2549
Practice Address - Country:US
Practice Address - Phone:678-334-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management