Fort Mill Senior Wellness Llc is a primary clinic (Nurse Practitioner) in Rock Hill, South Carolina. The current practice location for Fort Mill Senior Wellness Llc is 331 E Main St Ste 200, Rock Hill, South Carolina. For appointments, you can reach them via phone at
(704) 438-0687. The mailing address for Fort Mill Senior Wellness Llc is 331 E Main St Ste 200, Rock Hill, South Carolina and phone number is (860) 346-0252.
Fort Mill Senior Wellness Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1336992601. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(704) 438-0687.
Primary Care Clinic Profile
Full Name | Fort Mill Senior Wellness Llc |
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Speciality | Nurse Practitioner |
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Location | 331 E Main St Ste 200, Rock Hill, South Carolina |
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Authorized Official Name and Position | Kelli P Gagne (PRESIDENT) |
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Authorized Official Contact | 8603460252 |
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Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fort Mill Senior Wellness Llc 331 E Main St Ste 200 Rock Hill SC 29730-5384 Ph: (860) 346-0252 | Fort Mill Senior Wellness Llc 331 E Main St Ste 200 Rock Hill SC 29730-5384 Ph: (704) 438-0687 |
NPI Details:
NPI Number | 1336992601 |
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Provider Enumeration Date | 04/08/2024 |
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Last Update Date | 04/08/2024 |
Medical Identifiers
Medical identifiers for Fort Mill Senior Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336992601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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