CHOICE MD HEALTH AND WELLNESS LLC NPI 1174141030

NPI Information

CHOICE MD HEALTH AND WELLNESS, LLC is a general practice in Greenville, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CHOICE MD HEALTH AND WELLNESS, LLC NPI is 1174141030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

58 BEAR DR
GREENVILLE, SC
ZIP 29605-458
Phone: (914) 646-4393
Fax: (864) 469-2439

The provider's authorized official is Mincs Calixte .
The authorized official title is Practice Owner and has the following contact phone number (914) 646-4393.

The CLIA number assigned to this NPI record is 42D2198357 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2020 and was last updated on 7/8/2020.

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:

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