Provider Demographics
NPI:1447840434
Name:THE ART OF AESTHETICS MEDSPA
Entity type:Organization
Organization Name:THE ART OF AESTHETICS MEDSPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:803-888-7780
Mailing Address - Street 1:1221 BOWER PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-3734
Mailing Address - Country:US
Mailing Address - Phone:803-888-7780
Mailing Address - Fax:
Practice Address - Street 1:1221 BOWER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-3734
Practice Address - Country:US
Practice Address - Phone:803-888-7780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center