| Medicine Wheel Healing Art, Llc | |
|
1040 Edgewater Corp Pkwy Ste 101 Indian Land SC 29707-4514 | |
| (704) 905-8834 | |
| Not Available |
| Full Name | Medicine Wheel Healing Art, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1040 Edgewater Corp Pkwy Ste 101, Indian Land, South Carolina |
| Authorized Official Name and Position | Kenneth O Carter (CEO) |
| Authorized Official Contact | 7049058834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine Wheel Healing Art, Llc 701 Royal Ct Unit 1008 Charlotte NC 28202-2748 Ph: (704) 905-8834 | Medicine Wheel Healing Art, Llc 1040 Edgewater Corp Pkwy Ste 101 Indian Land SC 29707-4514 Ph: (704) 905-8834 |
| NPI Number | 1497144778 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497144778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 19167 (South Carolina) | Primary |
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