Wellness Restoration Centers of South Carolina

NPI #1447582911 in Myrtle, South Carolina

Provider Information

NPI Number: 1447582911
Entity Type: Organization
Organization Name: Wellness Restoration Centers of South Carolina
Subpart: Yes (part of a larger organization)
Parent Organization: VAN NESS ENTREPRISES, LLP
Primary Specialty: Nutritionist
Enumeration Date: Feb 8, 2010
Last Updated: Feb 8, 2010

Practice Location

Address: 507 ROBERT M GRISSOM PKWY
City: Myrtle
State: South Carolina
ZIP Code: 29577
Phone: (843) 448-4222

Authorized Official

Name: SCOTT VAN NESS, MBA
Title: COO
Phone: (719) 651-5102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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