Healthcare Provider Details

I. General information

NPI: 1982517124
Provider Name (Legal Business Name): MEGAN WELLS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1657 ASHLEY HALL RD STE 12
CHARLESTON SC
29407-3900
US

IV. Provider business mailing address

3923 WILLIAM E MURRAY BLVD UNIT 4420
CHARLESTON SC
29414-5264
US

V. Phone/Fax

Practice location:
  • Phone: 843-277-2411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8122
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: