Organization
ELITE BARBER SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK NUGENT HILL (OWNER/OPERATOR)
(843) 475-1033
Entity
Organization
Contact information
Practice address
820 CENTRAL AVENUE, SUITE E, SUMMERVILLE, SC 29483
(843) 475-1033
Mailing address
117 NATCHEZ KUSSO ROAD, RIDGEVILLE, SC 29472
(843) 475-1033
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/04/2018
Last updated
01/06/2025
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