NPI 1164033742

Antonio Lamar Rivers, HAIRLOSSSPECIALIS

Practitioner Prosthetics Case Management North Charleston, SC

Practice location

Address: 2702 W Surrey Dr, North Charleston, SC 29405-5513
Phone: (843) 224-3574

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence 2677 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1164033742
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2020
Record last updated: 16 Aug 2020

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.