# MIDLANDS MEDICAL WELLNESS CENTER, LLC

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

## Provider details

- **NPI number:** 1649613621
- **Authorized official:** DR. JANDRETTE RHOE MD (OWNER)
- **Authorized official phone:** (803) 223-9328

## Contact information

- **Practice address:** 200 SPRINGTREE DR, SUITE 200, COLUMBIA, SC 29223-8614
- **Practice address phone:** (803) 223-9328
- **Mailing address:** 205 WATER HICKORY WAY, COLUMBIA, SC 29229-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 22453 | SC | Yes |

## Other

- **Enumeration date:** 04/09/2013
- **Last updated:** 04/09/2013