Organization
REMEDY INTERNAL MEDICINE AND WELLNESS CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON A KENNEDY M.D. (OWNER)
(843) 737-5206
Entity
Organization
Contact information
Practice address
109 WAPPOO CREEK DR, 2A, CHARLESTON, SC 29412-2135
(843) 737-5206
(843) 795-7171
Mailing address
109 WAPPOO CREEK DR, 2A, CHARLESTON, SC 29412-2135
(843) 737-5206
(843) 795-7171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24910
SC
208000000X
Pediatrics Physician
24910
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5892
—
SC
Enumeration date
01/18/2012
Last updated
07/14/2013
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