| NPI | 1912537119 |
|---|---|
| Doing Business As | BLYTHEWOOD MEDICAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MANN Practice Manager 803-635-6461 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2022-08-23 |