Healthcare Provider Details

I. General information

NPI: 1427994698
Provider Name (Legal Business Name): PROSTAR SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 COOLEYS CREST LN
INMAN SC
29349-4341
US

IV. Provider business mailing address

219 COOLEYS CREST LN
INMAN SC
29349-4341
US

V. Phone/Fax

Practice location:
  • Phone: 864-325-9284
  • Fax:
Mailing address:
  • Phone: 864-325-9284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: ALBERT BROWN JR.
Title or Position: OWNER
Credential:
Phone: 864-325-9284