Organization
BATES FAMILY HAIR AFFAIR, LLC
Active
Organization
BATES FAMILY HAIR AFFAIR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DEMETRIA BATES MASTER DEGREE M.ED. (CERTIFIED HAIR LOSS SPECIALIST)
(803) 300-0273
Entity
Organization
Contact information
Practice address
13192 CHURCH ST, WILLISTON, SC 29853-5818
(803) 266-2727
Mailing address
42 JOHNSON LN, WILLISTON, SC 29853-5432
(803) 300-0273
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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