Anjelic Boutique

Organization Active NPI Prosthetic/Orthotic Supplier · Duncan, SC

NPI 1144965161 · NPPES record last updated May 3, 2022

Key facts

NPI
1144965161
Entity type
Organization (NPI type 2)
Primary specialty
Prosthetic/Orthotic Supplier 335E00000X
Legal business name
ANJELIC BOUTIQUE
Practice address
923 Applegate Cir
Duncan, SC 29334-8856
Phone
(864) 334-6216
Fax
(864) 404-4824
NPI assigned
May 3, 2022
Organization subpart
No

Authorized official

Name
Angelica Young
Title
Owner/Provider
Phone
(864) 334-6216

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Yes

Addresses

Primary practice location

923 Applegate Cir
Duncan, SC 29334-8856

Mailing address

923 Applegate Cir
Duncan, SC 29334-8856
Phone (864) 334-6216

Other providers in Duncan, SC

All providers in Duncan, SC · Prosthetic/Orthotic Supplier in South Carolina

Sources for this page

Verify at the official NPI Registry.