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CAROLINA WELLNESS AND RECOVERY LLC NPI 1720556376


NPI Information

NPI: 1720556376
Provider Name: CAROLINA WELLNESS AND RECOVERY LLC
Classification: Family Medicine - 207QA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 42D1059598

Address:
52 PARKWAY COMMONS WAY
GREER, SC
ZIP 29650
Phone: (864) 655-4350
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CAROLINA WELLNESS AND RECOVERY LLC is an addiction medicine family medicine in Greer, SC. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. CAROLINA WELLNESS AND RECOVERY LLC NPI is 1720556376. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

52 PARKWAY COMMONS WAY
GREER, SC
ZIP 29650-213
Phone: (864) 655-4350
Fax: (864) 416-4799

The provider's authorized official is Jennifer Hill .
The authorized official title is Program Director, Co-owner and has the following contact phone number (864) 655-4350.

The CLIA number assigned to this NPI record is 42D1059598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2018 and was last updated on 11/12/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3207QA0401XFamily MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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