| Wellnite Medical Group Pa | |
|
136 Forum Dr Ste 4 Columbia SC 29229-7980 | |
| (341) 888-7637 | |
| Not Available |
| Full Name | Wellnite Medical Group Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 136 Forum Dr Ste 4, Columbia, South Carolina |
| Authorized Official Name and Position | Amy Halanski (PRESIDENT) |
| Authorized Official Contact | 8776446008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnite Medical Group Pa 2261 Market St # 4058 San Francisco CA 94114-1612 Ph: (855) 731-1410 | Wellnite Medical Group Pa 136 Forum Dr Ste 4 Columbia SC 29229-7980 Ph: (341) 888-7637 |
| NPI Number | 1053028928 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053028928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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