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Organization
LIVING WELL CENTERS PRIMARY CARE AND BEHAVIORAL HEALTH
Active
Organization
LIVING WELL CENTERS PRIMARY CARE AND BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE POPE (CEO)
(843) 812-5988
Entity
Organization
Contact information
Practice address
101 RICE BENT WAY, SUITE 2, COLUMBIA, SC 29229-6849
(803) 667-9312
(803) 667-9313
Mailing address
101 RICE BENT WAY, SUITE 2, COLUMBIA, SC 29229-6849
(803) 667-9312
(803) 667-9313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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