CAROLINA HAIR REJUVENATION CLINIC LLC NPI 1003308248

NPI Information

NPI: 1003308248
Provider Name: CAROLINA HAIR REJUVENATION CLINIC LLC
Classification: Specialist - 1744P3200X
Entity Type: Organization

Specialization: Prosthetics Case Management

CLIA Number: 42D2183295

Address:
651 SAINT ANDREWS RD
COLUMBIA, SC
ZIP 29210
Phone: (800) 719-0061
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CAROLINA HAIR REJUVENATION CLINIC LLC is a prosthetics case management specialist in Columbia, SC. CAROLINA HAIR REJUVENATION CLINIC LLC NPI is 1003308248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

651 SAINT ANDREWS RD
COLUMBIA, SC
ZIP 29210-112
Phone: (800) 719-0061

The provider's authorized official is Lakisha M Ashford .
The authorized official title is President and has the following contact phone number (800) 719-0061.

The CLIA number assigned to this NPI record is 42D2183295 - other - urgent care behav/phy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2018 and was last updated on 6/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	55548	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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