Carolina Health And Wellness Services, Llc

LBN: Carolina Health And Wellness Services, Llc
Carolina Health And Wellness Services, Llc is an health care organization with primary practice located at 2754 Maybank Hwy Ste B , Johns Island SC 29455-4809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Carolina Health And Wellness Services, Llc can be contacted via phone (843) 996-4908, or through Devolld, Blake Douglas via phone (843) 996-4908.

Contact Information

Primary practice address
2754 Maybank Hwy Ste B Johns Island SC 29455-4809
Fax: (843) 962-5450
Website:
Authorized official contact:
Name: Devolld, Blake Douglas ED.D.

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1043804388
LBN Legal business name Carolina Health And Wellness Services, Llc
DBA Doing business as
Authorized official Devolld, Blake Douglas ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2021
Last updated Feb 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043804388 NPPES
South Carolina MEDICAID 406340

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