| NPI | 1427353085 |
|---|---|
| Other Name | WELLNESS ONE OF MYRTLE BEACH |
| Entity Type | Organization |
| Authorized Contact | LYNN SCANLON Managing Partner 843-444-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |