Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crowned Goddess Luxury Virgin Hair

Organization Prosthetic/Orthotic Supplier · NPI 1780312884

Crowned Goddess Luxury Virgin Hair is a Prosthetic/Orthotic Supplier in Atlanta, Georgia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3565 Martin Luther King Dr SW Ste 9
Atlanta, GA 30331-4016
Phone: (404) 699-0025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1780312884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Barnes — Manager · (404) 699-0028
Other names Crowned Rx Hair
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address3565 Martin Luther King Dr Sw Ste 9, Atlanta, GA 30331-4016

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