J&J Repair

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

J&J REPAIR

Practice address

2503 Dunbar Rd
Georgetown, SC 29440-2045

Phone

(843) 240-1230

NPI assigned

Aug 17, 2016

Organization subpart

No

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

Authorized official

Name

Jimmy Daren Cox, CONTRACTOR

Title

Owner

Phone

(843) 240-1230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1609321983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 DUNBAR RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402045",
            "telephone_number": "843-240-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 DUNBAR RD",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294402045",
            "telephone_number": "843-240-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&J REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_middle_name": "DAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-240-1230",
        "authorized_official_credential": "CONTRACTOR"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Georgetown, SC
• Providers in Georgetown, SC by specialty
• Home Modifications Contractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.