Organization · Type 2 NPI

QSM Enterprise Co.

Prosthetic/Orthotic Supplier · Augusta, GA

NPI number 1477431377 Active

Practice location

4046 Jimmie Dyess Pkwy
Augusta, GA 30909-9468

Call (706) 840-0634 Map

Mailing address

4323 Memory Ln
Conyers, GA 30013-1115

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Other prosthetic/orthotic supplier providers in Augusta

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NPI record

NPI: 1477431377
Entity type: Organization (Type 2)
Issued: Aug 26, 2025
Last updated: Sep 1, 2025
Status: Active
Subpart: Yes of QSM Enterprise Co.

Other names

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Atypical Slay Salon · doing business as
Atypical Slay Salon · doing business as

Authorized official

Quenya McMillan
Masters Cosmetologist
(910) 229-6770

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477431377

QSM Enterprise Co.'s National Provider Identifier is 1477431377, issued on Aug 26, 2025. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Augusta, GA. The record was last updated on Sep 1, 2025.