Organization
CAROLINA FAMILY WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY D BELTON (OWNER)
(803) 223-9193
Entity
Organization
Contact information
Practice address
9153 TWO NOTCH RD STE 6, COLUMBIA, SC 29223-5852
(803) 223-9193
(877) 837-4072
Mailing address
PO BOX 23659, COLUMBIA, SC 29224-3659
(803) 223-9193
(877) 837-4072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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