| Wellnessone Ancillary Services Llc | |
|
4736a Highway 17 Byp S Myrtle Beach SC 29588-5616 | |
| (843) 444-9355 | |
| Not Available |
| Full Name | Wellnessone Ancillary Services Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4736a Highway 17 Byp S, Myrtle Beach, South Carolina |
| Authorized Official Name and Position | Darin Green (MANAGER) |
| Authorized Official Contact | 8434449355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellnessone Ancillary Services Llc 4736a Highway 17 Byp S Myrtle Beach SC 29588-5616 Ph: () - | Wellnessone Ancillary Services Llc 4736a Highway 17 Byp S Myrtle Beach SC 29588-5616 Ph: (843) 444-9355 |
| NPI Number | 1285973255 |
|---|---|
| Provider Enumeration Date | 02/11/2013 |
| Last Update Date | 04/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285973255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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