Organization
IN HIS SERVICE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ALEXANDRIA WOLFF DNP, APRN, FNP-BC (PROVIDER)
(803) 638-8628
Entity
Organization
Contact information
Practice address
136 FORUM DRIVE, STE 4 #555, COLUMBIA, SC 29229
(803) 638-8628
(833) 672-3092
Mailing address
136 FORUM DRIVE, STE 4 #555, COLUMBIA, SC 29229
(803) 638-8628
(833) 672-3092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
01/05/2023
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