Individual
TYEHIMBA SALIM GRANT AMAR BEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4591 DORCHESTER RD, NORTH CHARLESTON, SC 29405-6846
(843) 224-6392
Mailing address
PO BOX 40755, NORTH CHARLESTON, SC 29423-0755
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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