Healthcare Provider Details

I. General information

NPI: 1780990788
Provider Name (Legal Business Name): LYMIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1533 FORDING ISLAND RD STE 318
HILTON HEAD SC
29926-1122
US

IV. Provider business mailing address

11900 US HIGHWAY 280
ELLABELL GA
31308-3603
US

V. Phone/Fax

Practice location:
  • Phone: 843-836-2693
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number12221
License Number StateSC

VIII. Authorized Official

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