Organization
NAPPY ROOTZ 15, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA ALIN SNIDER (0WNER)
(843) 714-7514
Entity
Organization
Contact information
Practice address
393 CORNER SQUARE PLAZA, MONCKS CORNER, SC 29461
(843) 714-7514
Mailing address
393 CORNER SQUARE PLZ, MONCKS CORNER, SC 29461-3211
(843) 714-7514
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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