| NPI | 1801378765 |
|---|---|
| Other Name | CHARLESTON CRANIAL PROSTHESIS |
| Entity Type | Organization |
| Authorized Contact | SHEENA LEIGH SIMMONS CEO 843-847-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |