Organization
PURE E.A.G.L.E
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY YOUMANS (OWNER)
(843) 368-0735
Entity
Organization
Contact information
Practice address
244 JOHNSON RD, RIDGELAND, SC 29936-3710
(843) 368-0735
(843) 368-0735
Mailing address
244 JOHNSON RD, RIDGELAND, SC 29936-3710
(843) 368-0735
(843) 368-0735
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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