Organization
MAGIC BEAUTY RX
Active
Other names
Felicia drummond
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FELICIA LASHANDA DRUMMOND COSMETOLOGY LICENSE (PROSTHETIC CRANIAL SUPPLIER)
(864) 612-7488
Entity
Organization
Contact information
Practice address
3237 N PLEASANTBURG DR, SUITE D3, GREENVILLE, SC 29609
(864) 612-7488
(252) 203-5993
Mailing address
102 VIRGINIA CIR, EASLEY, SC 29640-1458
(864) 612-7488
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250511249
SUPPLIER
SC
Enumeration date
01/24/2022
Last updated
02/17/2022
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