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Organization

SCULPTED BODIES BY DESTANI LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DESTYNIE JORDAN (OWNER)
(843) 260-9062
Entity
Organization

Contact information

Practice address
2205 OUSLEYDALE RD, HARTSVILLE, SC 29550-8733
(843) 260-9062
Mailing address
2205 OUSLEYDALE RD, HARTSVILLE, SC 29550-8733
(843) 260-9062

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary

Other

Enumeration date
02/02/2022
Last updated
02/02/2022
About Stedi
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Product
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  • Eligibility checks
  • EDI platform