NPI 1154074730

Sculpted Bodies By Destani LLC.

Organisation Point of Service Hartsville, SC

Practice location

Address: 2205 Ousleydale Rd, Hartsville, SC 29550-8733
Phone: (843) 260-9062

Authorised official

Name: Destynie Jordan
Title: Owner
Phone: (843) 260-9062

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in South Carolina →

Registry record

NPI: 1154074730
Entity type: Organization
NPI issued: 2 Feb 2022
Record last updated: 2 Feb 2022

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.