Premier Health & Wellness,ll
General Practice in Mt Pleasant, SC. Organization (NPI-2).
NPI number1356188627
StatusActive
Last updated in NPPESJul 12, 2024
Details
- NPI
- 1356188627
- Entity type
- Organization (NPI-2)
- Legal business name
- Premier Health & Wellness,ll
- Organization subpart
- No
- Enumeration date
- Jul 12, 2024
- Certification date
- Jul 12, 2024
- Last updated
- Jul 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
| 261QC1800X | Clinic/Center, Corporate Health | – | – |
Practice location
1300 Hospital Dr Ste 370Mt Pleasant, SC 29464-3245
Phone 256-606-3415
Mailing address
1300 Hospital Dr Ste 370Mt Pleasant, SC 29464-3245
Phone 256-606-3415
Authorized official
Anna Thornley
Coo
2566063415
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