Family Wellness Center of Charleston, LLC

NPI #1619367745 in North Charleston, South Carolina

Provider Information

NPI Number: 1619367745
Entity Type: Organization
Organization Name: Family Wellness Center of Charleston, LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 27, 2015
Last Updated: Jan 27, 2015

Practice Location

Address: 9217 UNIVERSITY BLVD
Address 2: C1B
City: North Charleston
State: South Carolina
ZIP Code: 29406-9147
Phone: (843) 729-8269

Authorized Official

Name: STANIA A DEJESUS, DO
Title: OWNER
Phone: (843) 729-8269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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