| Family Wellness Center Of Charleston, Llc | |
|
9217 University Blvd C1b North Charleston SC 29406-9147 | |
| (843) 729-8269 | |
| Not Available |
| Full Name | Family Wellness Center Of Charleston, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9217 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Stania A Dejesus (OWNER) |
| Authorized Official Contact | 8437298269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Wellness Center Of Charleston, Llc 9217 University Blvd C1b North Charleston SC 29406-9147 Ph: (843) 729-8269 | Family Wellness Center Of Charleston, Llc 9217 University Blvd C1b North Charleston SC 29406-9147 Ph: (843) 729-8269 |
| NPI Number | 1619367745 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619367745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1175 (South Carolina) | Primary |
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