Healthcare Provider Details

I. General information

NPI: 1235025164
Provider Name (Legal Business Name): REFINED BEAUTY SALON AND AESTHETICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 WILSON RD
NEWBERRY SC
29108-3049
US

IV. Provider business mailing address

1425 WILSON RD
NEWBERRY SC
29108-3049
US

V. Phone/Fax

Practice location:
  • Phone: 803-723-5959
  • Fax: 803-768-5098
Mailing address:
  • Phone: 803-723-5959
  • Fax: 803-768-5098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTY EIGNER
Title or Position: OWNER
Credential:
Phone: 803-723-5959