OrganizationActive
Extensions & Hair Boudoir
NPI 1578424461 · Prosthetic/Orthotic Supplier · Irmo, SC
Provider details
- NPI number
- 1578424461
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Erica Wiggins, Owner(803) 445-6931
Specialties & taxonomies
Suppliers
Practice location
7705 Saint Andrews Rd Bldg B
Irmo, SC 29063-2835
Phone: (803) 445-6931
Approximate (ZIP-level) locationGet directions
Mailing address
7705 Saint Andrews Rd Bldg B
Irmo, SC 29063-2835
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.