NPI 1003308248

Carolina Hair Rejuvenation Clinic LLC

Organisation Prosthetics Case Management Columbia, SC

Practice location

Address: 651 Saint Andrews Rd, Columbia, SC 29210-5112
Phone: (800) 719-0061
Mailing address: 537 Halleck Ln, Columbia, SC 29229-8096

Authorised official

Name: Lakisha M Ashford
Title: President
Phone: (800) 719-0061

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence 55548 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1003308248
Entity type: Organization
NPI issued: 4 Jun 2018
Record last updated: 4 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.