| NPI | 1285120741 |
|---|---|
| Doing Business As | LEGACY HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MARY MALLETTE WOODS Office Manager 803-547-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2019-05-02 |