=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235025164
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REFINED BEAUTY SALON AND AESTHETICS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2025
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1425 WILSON RD
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29108-3049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-723-5959
-----------------------------------------------------
Fax | 803-768-5098
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1425 WILSON RD
-----------------------------------------------------
City | NEWBERRY
-----------------------------------------------------
State | SC
-----------------------------------------------------
Zip | 29108-3049
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 803-723-5959
-----------------------------------------------------
Fax | 803-768-5098
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | CHRISTY EIGNER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 803-723-5959
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------