Healthcare Provider Details

I. General information

NPI: 1215261722
Provider Name (Legal Business Name): CENTER FOR HEALTH AND WELLNESS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2009
Last Update Date: 02/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W CAROLINA AVE
HARTSVILLE SC
29550-4410
US

IV. Provider business mailing address

600 W CAROLINA AVE
HARTSVILLE SC
29550-4410
US

V. Phone/Fax

Practice location:
  • Phone: 843-383-2340
  • Fax: 843-383-2341
Mailing address:
  • Phone: 843-383-2340
  • Fax: 843-383-2341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number15897
License Number StateSC

VIII. Authorized Official

Name: DR. STEPHEN NORWOOD SKIPPER
Title or Position: OWNER
Credential: D.C.
Phone: 843-383-2340