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Contact Information

FORT MILL SENIOR WELLNESS LLC
331 E MAIN ST STE 200
ROCK HILL, SC29730-5384
 Phone: 704-438-0687
 Fax: 844-591-0104
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FORT MILL SENIOR WELLNESS LLC · (Female)

NPI Number 1336992601
Status Active
Credentials
Entity Individual
Enumeration date 04/08/2024
Last updated 04/08/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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