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

Tawanna Easley, COSMETOLOGIST

Individual provider Prosthetics Case Management · NPI 1073392130

Tawanna Easley, COSMETOLOGIST is a Prosthetics Case Management in College Park, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2900 Lajean Dr
College Park, GA 30349-4148
Phone: (678) 437-6348
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CO093582 (GA)
Prosthetics Case Management Taxonomy 1744P3200X · Licence CO093582 (GA)

Record details

NPI number1073392130
Entity typeIndividual (Type 1)
GenderFemale
Credentials COSMETOLOGIST
Sole proprietorYes
NPI enumeratedSeptember 27, 2023
Last updated in NPPESSeptember 27, 2023
Certification dateSeptember 27, 2023

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