Organization
MIDLANDS MEDICAL WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANDRETTE RHOE MD (OWNER)
(803) 223-9328
Entity
Organization
Contact information
Practice address
200 SPRINGTREE DR, SUITE 200, COLUMBIA, SC 29223-8614
(803) 223-9328
Mailing address
205 WATER HICKORY WAY, COLUMBIA, SC 29229-7550
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
22453
SC
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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