Complete Healing & Wellness Center P.A.

LBN: Complete Healing & Wellness Center P.A.
Complete Healing & Wellness Center P.A. is an health care organization with primary practice located at 24 East Main St , Williamston SC 29697. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Family Medicine, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Complete Healing & Wellness Center P.A. can be contacted via phone (864) 847-6020, or through Wise, Jack D via phone (864) 847-6020.

Contact Information

Primary practice address
24 East Main St Williamston SC 29697
Fax: (864) 847-6007
Website:
Authorized official contact:
Name: Wise, Jack D Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1743 South Carolina
Chiropractic Providers / Chiropractor 111N00000X 1594 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20856 South Carolina
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1245301985
LBN Legal business name Complete Healing & Wellness Center P.A.
DBA Doing business as
Authorized official Wise, Jack D Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 21st, 2019 - about 6 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 1245301985 NPPES
South Carolina MEDICAID CH1594
South Carolina MEDICAID 208563
South Carolina MEDICAID CH1743

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