Organization
J&J REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY DAREN COX CONTRACTOR (OWNER)
(843) 240-1230
Entity
Organization
Contact information
Practice address
2503 DUNBAR RD, GEORGETOWN, SC 29440-2045
(843) 240-1230
Mailing address
2503 DUNBAR RD, GEORGETOWN, SC 29440-2045
(843) 240-1230
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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