Healthcare Provider Details

I. General information

NPI: 1366251456
Provider Name (Legal Business Name): DOAN TRANG THI RINGHOLZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

986 WELLNESS WAY STE 240
FORT MILL SC
29715-7352
US

IV. Provider business mailing address

986 WELLNESS WAY STE 240
FORT MILL SC
29715-7352
US

V. Phone/Fax

Practice location:
  • Phone: 803-835-2088
  • Fax: 803-835-2099
Mailing address:
  • Phone: 803-835-2088
  • Fax: 803-835-2099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30463
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number204624
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: