Organization
GERIATRIC HEALTH AND WELLNESS LTD CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR HIRTH MD (OWNER/MD)
(803) 788-5916
Entity
Organization
Contact information
Practice address
1 STILL HOPES DR, WEST COLUMBIA, SC 29169-7164
(803) 788-5916
(803) 788-9564
Mailing address
115 ATRIUM WAY STE 235, COLUMBIA, SC 29223-6383
(803) 788-5916
(803) 788-9524
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD17579
STATE OF SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING, AND REGULATION
SC
Enumeration date
08/16/2019
Last updated
08/16/2019
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