Organization
CAROLINA MEDICAL SPAS PA
Active
Other names
PUREWELLNESS SPAS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GISELE J GIRAULT MD (PRESIDENT)
(980) 297-7873
Entity
Organization
Contact information
Practice address
145 LAKE POINT DR, FORT MILL, SC 29708-7870
(803) 389-5961
Mailing address
8035 PROVIDENCE RD, STE 340, CHARLOTTE, NC 28277-9716
(980) 297-7873
(980) 297-7874
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NH
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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