Organization
CAROLINA WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMIEN BAILEY NP (OWNER)
(864) 641-6632
Entity
Organization
Contact information
Practice address
958 E MAIN ST, SUITE B, SPARTANBURG, SC 29302-2148
(864) 641-6632
Mailing address
202 COBBLESTONE XING, GAFFNEY, SC 29341-4436
(803) 447-7406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4470
SC
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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