Organization
HAIR REPLICA
Active
Other names
Hair Replica
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTINE D LEE HAIR LOSS SPECIALIST (OWNER)
(803) 549-2553
Entity
Organization
Contact information
Practice address
905 W DEKALB ST # C, CAMDEN, SC 29020-4259
(803) 549-2553
Mailing address
905 W DEKALB ST # C, CAMDEN, SC 29020-4259
(803) 549-2553
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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