Organization · Type 2 NPI

Nappy Rootz 15, LLC

Multi-Specialty Clinic/Center · Moncks Corner, SC

NPI number 1508343328 Active

Practice location

393 Corner Square Plaza
Moncks Corner, SC 29461

Mailing address

393 Corner Square Plz
Moncks Corner, SC 29461-3211

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Prosthetic/Orthotic Supplier 335E00000XNone listed

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About NPI 1508343328

Nappy Rootz 15, LLC's National Provider Identifier is 1508343328, issued on Jul 24, 2018. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Moncks Corner, SC. The record was last updated on Jul 24, 2018.