# CAROLINA MEDICAL SPAS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PUREWELLNESS SPAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255366985
- **Authorized official:** DR. GISELE J GIRAULT MD (PRESIDENT)
- **Authorized official phone:** (980) 297-7873

## Contact information

- **Practice address:** 145 LAKE POINT DR, FORT MILL, SC 29708-7870
- **Practice address phone:** (803) 389-5961
- **Mailing address:** 8035 PROVIDENCE RD, STE 340, CHARLOTTE, NC 28277-9716
- **Mailing address phone:** (980) 297-7873
- **Mailing address fax:** (980) 297-7874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NH | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020