Organization
WELLSPRING HEALTHCARE LLC
Active
Other names
Wellspring Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOSNELDAVMATUS FAIIVAE MD (DIRECTOR)
(803) 760-3306
Entity
Organization
Contact information
Practice address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
Mailing address
PO BOX 25271, COLUMBIA, SC 29224-5271
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34709
SC
2084P0804X
Child & Adolescent Psychiatry Physician
34709
SC
2084P0805X
Geriatric Psychiatry Physician
34709
SC
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up