NPI
29th & Glam Extensions LLC
Phone (706) 668-7657 · NPI 1073275780
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2021-10-11
- Last updated
- 2021-10-11
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1250 Powder Springs St Apt 2021
- City
- Marietta GA
- Postal code
- 30064-5249
- Phone
- (706) 668-7657
Organization contact
- Name
- Shevon Phillips
- Title
- Owner
- Phone
- (706) 668-7657
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Prosthetic/Orthotic Supplier providers in Marietta, GA. 13 with this primary taxonomy in the public file.
Other NPIs in Marietta, GA. 9,169 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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