Hair Replica

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HAIR REPLICA

Practice address

905 W Dekalb St # C
Camden, SC 29020-4259

Phone

(803) 549-2553

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Celestine D Lee, HAIR LOSS SPECIALISTNPI 1952185993

Title

Owner

Phone

(803) 549-2553

Specialties & licenses 2

Addresses

Other names 1

• Hair Replica Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Celestine D Lee, CERTIFIED HAIR LOSS

  • Prosthetics Case Management
  • Camden, SC
  • NPI 1952185993
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1043094899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 W DEKALB ST # C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204259",
            "telephone_number": "803-549-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W DEKALB ST # C",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204259",
            "telephone_number": "803-549-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR REPLICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-549-2553",
        "authorized_official_credential": "HAIR LOSS SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hair Replica",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Dawn Greenway, RN
• Diane Grossheim, ABOC,NCLE,LDO
• Susan Grumbach, MSN,APRN, FNP-BC
• Amanda Nicole Guerra
• Todd Richard Gustafson, CRNA
• Tom Hall
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Broks Lee Hansen, LISW-CP & AP
• Susan Marsh Hardin, OTR/L
• Hannah Elaine Harrell

• Durable Medical Equipment & Medical Supplies in Camden, SC
• Providers in Camden, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.