| Phoenix Wellness Llc | |
|
1040 Edgewater Corporate Pkwy Ste 106 Fort Mill SC 29707-4526 | |
| (704) 609-7334 | |
| (855) 655-3374 |
| Full Name | Phoenix Wellness Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1040 Edgewater Corporate Pkwy Ste 106, Fort Mill, South Carolina |
| Authorized Official Name and Position | David N Smith (OWNER) |
| Authorized Official Contact | 7046097334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Wellness Llc 1600 Churchill Downs Dr Waxhaw NC 28173-6627 Ph: (704) 609-7334 | Phoenix Wellness Llc 1040 Edgewater Corporate Pkwy Ste 106 Fort Mill SC 29707-4526 Ph: (704) 609-7334 |
| NPI Number | 1780348789 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780348789 | NPI | - | NPPES |
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