Organization
FIRST IMPRESSIONS INCONTINENT AND MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE RICHMOND PEARSON (OWNER)
(803) 735-3050
Entity
Organization
Contact information
Practice address
5 DEER TRACE CT, WINNSBORO, SC 29180-6004
(803) 735-3050
(803) 735-3059
Mailing address
5 DEER TRACE CT, WINNSBORO, SC 29180-6004
(803) 635-2447
(803) 735-3050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
EN2021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EN2021
—
SC
Enumeration date
05/25/2007
Last updated
08/22/2020
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