Eta Hair Loss and Restoration Clinic

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ETA HAIR LOSS AND RESTORATION CLINIC

Practice address

1092 Chair Rd
Hemingway, SC 29554-6123

Phone

(843) 933-2511

Fax

(843) 933-2511

NPI assigned

Dec 4, 2020

Last updated

Jan 6, 2021By 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

Richard Scott

Title

Owner

Phone

(843) 933-2511

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1043815285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 CHAIR RD",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295546123",
            "telephone_number": "843-933-2511",
            "fax_number": "843-933-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 CHAIR RD",
            "city": "HEMINGWAY",
            "state": "SC",
            "postal_code": "295546123",
            "telephone_number": "843-933-2511",
            "fax_number": "843-933-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETA HAIR LOSS AND RESTORATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-933-2511"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8439332511",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "address_1": "1092 Chair Rd",
            "city": "Hemingway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295546123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Hemingway, SC
• Providers in Hemingway, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.