| Nappy Rootz 15, Llc | |
|
393 Corner Square Plaza Moncks Corner SC 29461 | |
| (843) 714-7514 | |
| Not Available |
| Full Name | Nappy Rootz 15, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 393 Corner Square Plaza, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Martina Alin Snider (0WNER) |
| Authorized Official Contact | 8437147514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nappy Rootz 15, Llc 393 Corner Square Plz Moncks Corner SC 29461-3211 Ph: (843) 714-7514 | Nappy Rootz 15, Llc 393 Corner Square Plaza Moncks Corner SC 29461 Ph: (843) 714-7514 |
| NPI Number | 1508343328 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508343328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 335E00000X | Prosthetic/orthotic Supplier | (* (Not Available)) | Secondary |
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