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Contact Information

ST JAMES HEALTH AND WELLNESS INC
422 N FRASER ST
GEORGETOWN, SC29440-3260
 Phone: 843-436-1333
 Fax: 843-436-1335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for ST JAMES HEALTH AND WELLNESS INC

NPI # 1366568594
LBN Legal business name ST JAMES HEALTH AND WELLNESS INC
Authorized official SANDRA GILLIARD - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 06/22/2022 - About 4 years ago
Identifiers
SC License # 37759
SC Medicaid 377596
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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