Well Family Medicine

LBN: Well Family Medicine
Well Family Medicine is an health care organization with primary practice located at 1483 Tobias Gadson Blvd Suite 102, Charleston SC 29407-8702. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Well Family Medicine can be contacted via phone (843) 766-6229, or through Cox, Lori Ann via phone (843) 766-6229.

Contact Information

Primary practice address
1483 Tobias Gadson Blvd Suite 102 Charleston SC 29407-8702
Fax: (843) 766-2315
Website:
Authorized official contact:
Name: Cox, Lori Ann

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 19704 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19704 South Carolina

Profile Details

NPI number 1326074576
LBN Legal business name Well Family Medicine
DBA Doing business as
Authorized official Cox, Lori Ann
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 7th, 2008 - about 16 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 1326074576 NPPES
South Carolina MEDICAID 197049

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