National Provider Identifier Database

COMMUNITY WELLNESS GROUP LLC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

COMMUNITY WELLNESS GROUP LLC
2430 ATLAS RD STE 1
COLUMBIA, SC29209-3625
Phone: 803-586-1752
Fax: 877-995-5934
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Addiction (Substance Use Disorder) 101YA0400X
Addiction Medicine 2083A0300X
Cardiovascular Disease 207RC0000X
Chiropractor 111N00000X
Mental Health 101YM0800X
Professional 101YP2500X
Psychiatry 2084P0800X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for COMMUNITY WELLNESS GROUP LLC

NPI Number 1982144606
Legal business name
LBN
COMMUNITY WELLNESS GROUP LLC
Authorized official KENNETH SIMMONS - (DIRECTOR/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2017
Last updated 12/07/2021 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: GP8968

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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