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Contact Information

ST JAMES HEALTH AND WELLNESS INC
13072 COUNTY LINE RD
ANDREWS, SC29510-6811
 Phone: 843-990-7993
 Fax: 843-887-3817
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ST JAMES HEALTH AND WELLNESS INC

NPI Number 1629639760
LBN Legal business name ST JAMES HEALTH AND WELLNESS INC
Authorized official SANDRA GILLIARD - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/27/2019
Last updated 06/22/2022 - About 4 years ago
Identifiers n/a
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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