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Organization

ETERNA AESTHETICS AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA LUCKIE (CO-OWNER)
(843) 225-9810
Entity
Organization

Contact information

Practice address
2 CARRIAGE LN, CHARLESTON, SC 29407-6010
(843) 571-3100
(843) 766-7798
Mailing address
2 CARRIAGE LN, CHARLESTON, SC 29407-6010
(843) 571-3100
(843) 766-7798

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
363LA2200X
Adult Health Nurse Practitioner

Other

Enumeration date
06/11/2025
Last updated
12/29/2025
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