| NPI | 1407114887 |
|---|---|
| Doing Business As | WELL FAMILY MEDICINE, LLC |
| Entity Type | Organization |
| Authorized Contact | RANDI K. POPP Owner 843-766-6229 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-05-16 |