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Organization
LEGACY WOMEN'S HEALTH AND WELLNESS
Active
Organization
LEGACY WOMEN'S HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE HANNON (RN)
(864) 209-1540
Entity
Organization
Contact information
Practice address
105 N MAIN ST, FOUNTAIN INN, SC 29644-1928
(864) 209-1540
Mailing address
105 N MAIN ST, FOUNTAIN INN, SC 29644-1928
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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