Organization
CAROLINA HEALTH AND WELLNESS SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE DOUGLAS DEVOLLD ED.D. (PRACTICE MANAGER)
(843) 996-4908
Entity
Organization
Contact information
Practice address
2754 MAYBANK HWY STE B, JOHNS ISLAND, SC 29455-4809
(843) 996-4908
(843) 962-5450
Mailing address
2754 MAYBANK HWY STE B, JOHNS ISLAND, SC 29455-4809
(843) 996-4908
(843) 962-5450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406340
—
SC
Enumeration date
02/26/2021
Last updated
02/26/2021
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