Organization
ENCHANTED CROWNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESSYNCE M SMITH (MANAGER/MEMBER)
(919) 282-4728
Entity
Organization
Contact information
Practice address
817 PAULI MURRAY PL, DURHAM, NC 27701-3034
(919) 282-4728
Mailing address
817 PAULI MURRAY PL, DURHAM, NC 27701-3034
(919) 282-4728
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
06/17/2022
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