Organization Active NPI

C Marie Aesthetics

  • Prosthetic/Orthotic Supplier
  • Bluffton, SC
National Provider Identifier
1366056483
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
C MARIE AESTHETICS
Practice address
41F Goethe Rd
Bluffton, SC 29910-6001
Phone
(843) 783-3098
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Chandra Redwine
Title
Owner
Phone
(843) 783-3098

Specialties & licenses 1

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

Addresses

Primary practice location

41F Goethe Rd
Bluffton, SC 29910-6001

Mailing address

41F Goethe Rd
Bluffton, SC 29910-6001
Phone (843) 783-3098

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 8437833098

National Provider Directory

National Provider Directory

Locations

41F Goethe Rd
Bluffton, SC 29910
Phone (843) 783-3098

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1366056483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41F GOETHE RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106001",
            "telephone_number": "843-783-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41F GOETHE RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106001",
            "telephone_number": "843-783-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C MARIE AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "REDWINE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-783-3098"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8437833098",
            "affiliation": "N",
            "endpointDescription": "Fax Number",
            "address_1": "41F Goethe Rd",
            "city": "Bluffton",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299106001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.