Organization
SARAH ANNS UNDERCOVER WORLD OF EASLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY ANN STANSELL (PRESIDENT)
(864) 968-1699
Entity
Organization
Contact information
Practice address
611 E WADE HAMPTON BLVD, SUITE E, GREER, SC 29651-1547
(864) 968-1699
(864) 968-5048
Mailing address
14324 E WADE HAMPTON BLVD, GREER, SC 29651-1542
(864) 968-1699
(864) 968-5048
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
042502032
SC
Other
Enumeration date
06/11/2006
Last updated
05/13/2008
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