Organization
PROFESSIONAL COMMUNITY BUSINESS
Active
Organization
PROFESSIONAL COMMUNITY BUSINESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA D. RESPRESS (DIRECTOR)
(843) 270-9307
Entity
Organization
Contact information
Practice address
4135 RIVERS AVE, SUITE A, NORTH CHARLESTON, SC 29405-6633
(843) 747-5997
Mailing address
4135 RIVERS AVE, SUITE A, NORTH CHARLESTON, SC 29405-6633
(843) 747-5997
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/30/2010
Last updated
10/30/2010
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