Upstate Wellness Center Llc | |
102 Buford Ave Ste A Anderson SC 29621-3365 | |
(864) 261-9506 | |
Not Available |
Full Name | Upstate Wellness Center Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 102 Buford Ave Ste A, Anderson, South Carolina |
Authorized Official Name and Position | Heather Marshall Ford (CO-OWNER, PROVIDER) |
Authorized Official Contact | 8649400523 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Upstate Wellness Center Llc 102 Buford Ave Ste A Anderson SC 29621-3365 Ph: (864) 261-9506 | Upstate Wellness Center Llc 102 Buford Ave Ste A Anderson SC 29621-3365 Ph: (864) 261-9506 |
NPI Number | 1871362459 |
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Provider Enumeration Date | 12/25/2023 |
Last Update Date | 03/26/2024 |
Certification Date | 03/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871362459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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