Healthcare Provider Details

I. General information

NPI: 1528365236
Provider Name (Legal Business Name): LYMIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7201 TWO NOTCH RD # 300
COLUMBIA SC
29223-7527
US

IV. Provider business mailing address

11900 US HIGHWAY 280
ELLABELL GA
31308-3603
US

V. Phone/Fax

Practice location:
  • Phone: 803-699-4441
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number20113722536356
License Number StateSC

VIII. Authorized Official

Name: ARTHUR SMITH
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 843-270-8929