Mastectomy Shoppe, LLC
NPI #1922763150 in Indian Land, South Carolina
Provider Information
- NPI Number
- 1922763150
- Entity Type
- Organization
- Organization Name
- Mastectomy Shoppe, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Nov 2, 2021
- Last Updated
- Mar 31, 2022
Practice Location
- Address
- 9700 REDSTONE DR STE 200
- City
- Indian Land
- State
- South Carolina
- ZIP Code
- 29707-5409
- Phone
- (803) 548-8627
Authorized Official
- Name
- CHRISTEN E TESE
- Title
- MANAGING MEMBER
- Phone
- (561) 573-9596
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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