Organization
GRACEFUL HARMONY MEDSPA INC
Active
Other names
Graceful Medical Academy
Organization subpart
No
Provider details
NPI number
Authorized official
TABIA ONI MCMULLEN NP (CEO)
(843) 817-1744
Entity
Organization
Contact information
Practice address
2850 ASHLEY PHOSPHATE RD STE A, NORTH CHARLESTON, SC 29418-4403
(843) 817-1744
Mailing address
2850 ASHLEY PHOSPHATE RD STE A, NORTH CHARLESTON, SC 29418-4403
(843) 817-1744
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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