Envision Wellness Medical Group LLC
NPI #1710690912 in Columbia, South Carolina
Provider Information
- NPI Number
- 1710690912
- Entity Type
- Organization
- Organization Name
- Envision Wellness Medical Group LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ENVISION WELLNESS MEDICAL GROUP LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jan 3, 2023
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 4100 N MAIN ST STE 101
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203-5800
- Phone
- (803) 256-0101
Authorized Official
- Name
- LISA ROBERTS
- Title
- OFFICE MANAGER
- Phone
- (803) 256-0101
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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