Individual
MRS. CATHY J MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR REPLACEMENT
Contact information
Practice address
201 COLUMBIA MALL BLVD STE 189, COLUMBIA, SC 29223
(803) 477-5243
Mailing address
25 REIDY CT, COLUMBIA, SC 29223-8555
(803) 477-5243
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
12/06/2018
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