NPI 1003614900
Age Well Sc LLC
Practice location
- Address
- 468 Old Cherokee Rd, Lexington, SC 29072-9031
- Phone
- (803) 646-0126
Authorised official
- Name
- Tjuana Seidl
- Title
- Director
- Phone
- (803) 646-0126
Registered specialties (2)
Multi-Specialty Clinic/Center
Primary
Medical Physician Assistant
Registry record
- NPI
- 1003614900
- Entity type
- Organization
- NPI issued
- 5 Mar 2025
- Record last updated
- 5 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.