NPI 1013396027

Family Wellness Center of Charleston

Organisation Family Medicine Physician North Charleston, SC

Practice location

Address: 9217 University Blvd Suite C1b, North Charleston, SC 29406-9147
Phone: (843) 729-8269

Authorised official

Name: Stania Dejesus
Title: Owner
Phone: (843) 729-8269

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence LIC-1-15-126877 (SC)

Other Family Medicine providers in South Carolina →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MDO.1175DO (SC)

Registry record

NPI: 1013396027
Entity type: Organization
NPI issued: 22 May 2015
Record last updated: 22 May 2015

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.