Organization
WELL FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANN COX (PRACTICE MANAGER)
(843) 766-6229
Entity
Organization
Contact information
Practice address
1483 TOBIAS GADSON BLVD, SUITE 102, CHARLESTON, SC 29407-8702
(843) 766-6229
(843) 766-2315
Mailing address
1483 TOBIAS GADSON BLVD, SUITE 102, CHARLESTON, SC 29407-8702
(843) 766-6229
(843) 766-2315
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
19704
SC
207Q00000X
Family Medicine Physician
Primary
19704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197049
—
SC
Enumeration date
06/22/2006
Last updated
07/07/2008
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