Organization
UPSTATE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARSHALL FORD DNP, APRN (CO-OWNER, PROVIDER)
(864) 940-0523
Entity
Organization
Contact information
Practice address
102 BUFORD AVE STE A, ANDERSON, SC 29621-3365
(864) 261-9506
Mailing address
102 BUFORD AVE STE A, ANDERSON, SC 29621-3365
(864) 261-9506
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/25/2023
Last updated
03/26/2024
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