Organization
MICALLINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN M SIMS (OFFICE MANAGER)
(803) 783-5112
Entity
Organization
Contact information
Practice address
1717 PINEVIEW DR, COLUMBIA, SC 29209-5068
(803) 783-5110
(803) 783-5113
Mailing address
1717 PINEVIEW DR, COLUMBIA, SC 29209-5068
(803) 783-5110
(803) 783-5113
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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