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Organization
BLACK RIVER LABS AND WELLNESS CENTER
Active
Organization
BLACK RIVER LABS AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FELECIA SHAVON SCOTT CPT, MA, BA PSY (OWNER)
(803) 809-0099
Entity
Organization
Contact information
Practice address
960 BERRY ST, ORANGEBURG, SC 29115-4317
(803) 809-0099
Mailing address
960 BERRY ST, ORANGEBURG, SC 29115-4317
(803) 809-0099
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
NULL
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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