# BIRTH CENTER AT WELL BODY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467337006
- **Authorized official:** TASHONA R WINSLOW (CO-OWNER/OPERATIONS DIRECTOR)
- **Authorized official phone:** (803) 402-3943

## Contact information

- **Practice address:** 9843 CALVIN HALL RD, INDIAN LAND, SC 29707-8620
- **Practice address phone:** (803) 402-3943
- **Practice address fax:** (803) 961-6323
- **Mailing address:** 9843 CALVIN HALL RD, INDIAN LAND, SC 29707-8620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/11/2025
- **Last updated:** 08/11/2025
