Fashion Wig Shop & Gifts LLC
NPI #1871817916 in Sumter, South Carolina
Provider Information
- NPI Number
- 1871817916
- Entity Type
- Organization
- Organization Name
- Fashion Wig Shop & Gifts LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Mar 18, 2010
- Last Updated
- Jul 26, 2011
Practice Location
- Address
- 540 BULTMAN DRIVE
- Address 2
- SUITE 3
- City
- Sumter
- State
- South Carolina
- ZIP Code
- 29150-2592
- Phone
- (803) 774-0139
Authorized Official
- Name
- MRS. LYNNETTE M MCELVEEN
- Title
- OWNER/MANGER
- Phone
- (803) 774-0139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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