institution
Fashion Wig Shop & Gifts Llc
Prosthetic/Orthotic Supplier in Sumter, South Carolina
NPI 1871817916

Fashion Wig Shop & Gifts Llc is a Prosthetic/Orthotic Supplier based in Sumter, SC. Fashion Wig Shop & Gifts Llc practices in Sumter, SC. The NPI Number for Fashion Wig Shop & Gifts Llc is 1871817916 and holds a License No. 20537 (South Carolina).

The current practice location address for Fashion Wig Shop & Gifts Llc is 540 Bultman Drive, Sumter, SC and can be reached out via phone at 803-774-0139 and via fax at 803-774-0139. You can also correspond with Fashion Wig Shop & Gifts Llc through the mailing address at 540 BULTMAN DRIVE, SUMTER, SC - 29150-2592 (mailing address contact number: 803-774-0139).

Location: 540 Bultman Drive, Sumter, SC, 29150-2592
institution
Provider Profile Details
NPI Number
1871817916
Provider Name
Fashion Wig Shop & Gifts Llc
Credential
Provider Entity Type
Organization
Address
540 Bultman Drive, Sumter, SC, 29150-2592
Phone Number
803-774-0139
Fax Number
803-774-0139
Provider Enumeration Date
03/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 Bultman Drive
City
State
Zip
29150-2592
Phone Number
803-774-0139
Fax Number
803-774-0139
person
Provider Business Mailing Address Details
Address
540 Bultman Drive
City
State
Zip
29150-2592
Phone Number
803-774-0139
Fax Number
803-774-0139
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
License No.
20537 (South Carolina)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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