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Svs Hydration & Wellness Lounge, LLC

Clinic/Center, Primary Care in West Columbia, SC. Organization (NPI-2).

NPI number1164090957
StatusActive
Last updated in NPPESSep 14, 2021

Details

NPI
1164090957
Entity type
Organization (NPI-2)
Legal business name
Svs Hydration & Wellness Lounge, LLC
Organization subpart
No
Enumeration date
Jun 16, 2021
Certification date
Sep 14, 2021
Last updated
Sep 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes
261QU0200X Clinic/Center, Urgent Care––

Practice location

1304 Sunset Blvd # 1095
West Columbia, SC 29169-5914

Phone 803-594-3300

Mailing address

1304 Sunset Blvd # 1095
West Columbia, SC 29169-5914

Authorized official

Verlisha Goins
Provider
8035943300

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