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

Tiara Fetherson, CERTIFIEDHAIRLOSS

Individual provider Prosthetics Case Management · NPI 1881274199

Tiara Fetherson, CERTIFIEDHAIRLOSS is a Prosthetics Case Management in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

2516 Reynolda Rd
Winston Salem, NC 27106-4618
Phone: (980) 230-4841
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence C92097 (NC)

Record details

NPI number1881274199
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTIFIEDHAIRLOSS
Sole proprietorYes
NPI enumeratedApril 11, 2021
Last updated in NPPESApril 11, 2021
Certification dateApril 11, 2021

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