MEDICARE: WELLNESSPLUS P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1009	SC

General Provider Information

NPI Number	:	1083873780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESSPLUS P A

Provider Business Mailing Address
First Line	:	1001-A PHYSICIANS DRIVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-5746
Country	:	US
Telephone Number	:	843-571-1020
Fax Number	:	843-573-0788

Provider Business Practice Location Address
First Line	:	1001 - A PHYSICIANS DR
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29414-5746
Country	:	US
Telephone Number	:	843-571-1020
Fax Number	:	843-573-0788

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. VALERIE FANTINO
Credential	:	DC
Telephone Number	:	843-571-1020

Provider Enumeration Date	:	06/06/2008
Last Update Date	:	02/16/2012

Similar Medicare Providers

1083674634 — WOODRUFF CHIROPRACTIC CLINIC
Practice Location Address:

1019 PHYSICIANS DR
CHARLESTON, SC
29414-5746

Practice Phone: 843-571-5366
Practice Fax: 843-571-5659

1285684548 — DR. OSEMWEGIE EMMANUEL EMOVON M.D.
Practice Location Address:

1007 PHYSICIANS DR
CHARLESTON, SC
29414-5746

Practice Phone: 843-573-0499
Practice Fax: 843-573-2463

1811903818 — STEPHANIE BRADSHAW WOODRUFF DC
Practice Location Address:

1019 PHYSICIANS DR
CHARLESTON, SC
29414-5746

Practice Phone: 843-571-5366
Practice Fax: 843-571-5659

1316008345 — COMPLETE HEALTH DIAGNOSTICS, INC.
Practice Location Address:

1019 PHYSICIANS DR , SUITE B
CHARLESTON, SC
29414-5746

Practice Phone: 843-763-2515
Practice Fax: 770-770-1872

1457402182 — CAROLINA KIDNEY & HYPERTENSION CENTER, LLC
Practice Location Address:

1007 PHYSICIANS DRIVE
CHARLESTON, SC
29414-5746

Practice Phone: 843-573-0499
Practice Fax: 843-573-2463

1710105820 — DR. KIMBERLY SHEA SIRISKY D.C.
Practice Location Address:

1001 PHYSICIANS DR
CHARLESTON, SC
29414-5746

Practice Phone: 843-571-1020
Practice Fax: 843-573-0788

Directions to “WELLNESSPLUS P A ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.