Organization
ONSITE HEALTHCARE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT LEE CLUXTON NP (CEO)
(864) 442-4110
Entity
Organization
Contact information
Practice address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(864) 442-4110
Mailing address
105 FRANKLIN SQUARE WAY STE A, EASLEY, SC 29642-3715
(186) 444-2411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18996
SC
363L00000X
Nurse Practitioner
18997
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2882
—
SC
Enumeration date
05/09/2018
Last updated
03/02/2021
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