Provider Demographics
NPI:1487158002
Name:PERKINS, AMBER R (HAIR LOSS SPECIALIST)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:R
Last Name:PERKINS
Suffix:
Gender:F
Credentials:HAIR LOSS SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6217 RIME VILLAGE DR NW APT 202
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-2785
Mailing Address - Country:US
Mailing Address - Phone:256-213-8075
Mailing Address - Fax:
Practice Address - Street 1:6217 RIME VILLAGE DR NW APT 202
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-2785
Practice Address - Country:US
Practice Address - Phone:256-213-8075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty