Healthcare Provider Details

I. General information

NPI: 1407767429
Provider Name (Legal Business Name): BLAIR HAYES CO. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2089 COUNTRY MANOR DR
MOUNT PLEASANT SC
29466-7409
US

IV. Provider business mailing address

2089 COUNTRY MANOR DR
MOUNT PLEASANT SC
29466-7409
US

V. Phone/Fax

Practice location:
  • Phone: 843-303-6431
  • Fax:
Mailing address:
  • Phone: 843-343-4909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY CARROLL SANTOS
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 843-303-6431