Organization
HANAN N ALI
Active
Other names
Soutien Gorge & More
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HANAN N ALI (OWNER)
(803) 225-5927
Entity
Organization
Contact information
Practice address
2 S BROOKS ST, MANNING, SC 29102-3110
(803) 225-5927
Mailing address
PO BOX 152, MANNING, SC 29102-0152
(803) 225-5927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
014080503
SC
Other
Enumeration date
03/20/2015
Last updated
05/15/2015
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