Organization
ETA HAIR LOSS AND RESTORATION CLINIC
Active
Organization
ETA HAIR LOSS AND RESTORATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SCOTT (OWNER)
(843) 933-2511
Entity
Organization
Contact information
Practice address
1092 CHAIR RD, HEMINGWAY, SC 29554-6123
(843) 933-2511
(843) 933-2511
Mailing address
1092 CHAIR RD, HEMINGWAY, SC 29554-6123
(843) 933-2511
(843) 933-2511
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
01/06/2021
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