Organization
LIVINGWELL INTEGRATIVE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES C CALDWELL M.D. (PRESIDENT)
(864) 850-9988
Entity
Organization
Contact information
Practice address
838 POWDERSVILLE RD, SUITE G, EASLEY, SC 29642-3703
(864) 855-9988
(864) 850-9989
Mailing address
838 POWDERSVILLE RD, SUITE G, EASLEY, SC 29642-3703
(864) 855-9988
(864) 850-9989
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
261QM2500X
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15727
STATE LICENSE
SC
Enumeration date
07/26/2007
Last updated
08/14/2007
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