| NPI | 1659121614 |
|---|---|
| Doing Business As | SOUTHERN CHARM HEALTH AND WELLNESS CENTER |
| Doing Business As | SOUTHERN CHARM MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL B CLARK Owner 704-292-3651 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-12-08 |