| Family Wellness Center Of Charleston | |
|
9217 University Blvd Suite C1b North Charleston SC 29406-9147 | |
| (843) 729-8269 | |
| Not Available |
| Full Name | Family Wellness Center Of Charleston |
|---|---|
| Speciality | Family Medicine |
| Location | 9217 University Blvd, North Charleston, South Carolina |
| Authorized Official Name and Position | Stania 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 9217 University Blvd Suite C1b North Charleston SC 29406-9147 Ph: (843) 729-8269 | Family Wellness Center Of Charleston 9217 University Blvd Suite C1b North Charleston SC 29406-9147 Ph: (843) 729-8269 |
| NPI Number | 1013396027 |
|---|---|
| Provider Enumeration Date | 05/22/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013396027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | LIC-1-15-126877 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | MDO.1175DO (South Carolina) | Secondary |
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