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

Mr. Tavories Ivey Sr., HAIRLOSSSPECIALIST

Individual provider Specialist · NPI 1407319676

Mr. Tavories Ivey Sr., HAIRLOSSSPECIALIST is a Specialist in Augusta, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019

Practice location Address checks out

4409 Silverton Rd
Augusta, GA 30909-9122
Phone: (706) 466-2251
Show map & directions

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

Additional practice locations (1)

  • 2115 Windsor Spring Rd Ste 13, Augusta, GA 30906-4883 — (706) 466-2251

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence BR020119 (GA)

Record details

NPI number1407319676
Entity typeIndividual (Type 1)
GenderMale
Credentials HAIRLOSSSPECIALIST
Sole proprietorYes
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019

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