| NPI | 1659121614 |
|---|---|
| Doing Business As | SOUTHERN CHARM HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL B CLARK Fnp C/Owner 803-577-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-04-17 |