Organization
ADVANCED CRANIAL PROSTHETIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARONICA WILLIAMS HAIR PRACTITIONER (OWNER)
(843) 439-1311
Entity
Organization
Contact information
Practice address
605 STATE STREET EXT, BENNETTSVILLE, SC 29512-4537
(843) 439-1311
(843) 602-0279
Mailing address
605 STATE STREET EXT, BENNETTSVILLE, SC 29512-4537
(843) 439-1311
(843) 604-0279
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
04/10/2026
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