Organization
MERIDIAN WELLNESS & MED-SPA OF SC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KOENIG (CEO)
(864) 316-7440
Entity
Organization
Contact information
Practice address
1874 E MAIN ST, SPARTANBURG, SC 29307-2306
(864) 772-3100
Mailing address
1874 E MAIN ST, SPARTANBURG, SC 29307-2306
(864) 772-3100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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