Organization
BROAD RIVER WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BAKER NP (OWNER)
(803) 658-5058
Entity
Organization
Contact information
Practice address
4027 WOODLAWN ST, SHARON, SC 29742-8779
(803) 627-0220
Mailing address
4027 WOODLAWN ST, SHARON, SC 29742-8779
(803) 658-5058
(803) 658-5035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
06/17/2024
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