Organization
IMAGE OBSESSION LLC
Active
Organization
IMAGE OBSESSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREONNA ROGERS (OWNER)
(864) 237-8148
Entity
Organization
Contact information
Practice address
1855 E MAIN ST # SR03, SPARTANBURG, SC 29307-2309
(864) 237-8148
(207) 255-7679
Mailing address
1855 E MAIN ST # SR03, SPARTANBURG, SC 29307-2309
(864) 237-8148
(207) 255-7679
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000027094
BUSINESS LICENSE
SC
Enumeration date
04/09/2020
Last updated
04/09/2020
Update your record
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