Easley, Tawanna

Easley, Tawanna is an sole proprietor health care provider with primary practice located at 2900 Lajean Dr , College Park GA 30349-4148. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Prosthetics Case Management, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is her primary health care specialty. Easley, Tawanna can be contacted via phone (678) 437-6348.

Contact Information

Primary practice address
2900 Lajean Dr College Park GA 30349-4148
Phone: (678) 437-6348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CO093582 Georgia
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CO093582 Georgia

Profile Details

NPI number 1073392130
LBN Legal business name Easley, Tawanna
Credentials COSMETOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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