Provider Demographics
NPI:1548645120
Name:NUWBNS NATURAL HAIR CARE CLINIC
Entity type:Organization
Organization Name:NUWBNS NATURAL HAIR CARE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS SPECIALIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AIRAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPC, MA, MSA
Authorized Official - Phone:910-257-8055
Mailing Address - Street 1:3308 BRAGG BLVD STE 237A
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-3900
Mailing Address - Country:US
Mailing Address - Phone:910-868-5891
Mailing Address - Fax:
Practice Address - Street 1:3308 BRAGG BLVD STE 237A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-3900
Practice Address - Country:US
Practice Address - Phone:910-868-5891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCT1064335E00000X
NC49972335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier