NPI 1316204522

Low Country Massage & Wellness, LLC

Organisation Health Maintenance Organization Georgetown, SC

Practice location

Address: 1036 Mount Zion Ave, Georgetown, SC 29440-4823
Phone: (843) 543-1113

Authorised official

Name: Blakely R Altman
Title: Owner/Massage Therapist
Phone: (843) 543-1113

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 6530 (SC)

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Registry record

NPI: 1316204522
Entity type: Organization
NPI issued: 12 Apr 2012
Record last updated: 12 Apr 2012

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.