Healthcare Provider Details

I. General information

NPI: 1033041652
Provider Name (Legal Business Name): NOVA HELIX MULTI CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3236 LANDMARK DR STE 110
NORTH CHARLESTON SC
29418-8490
US

IV. Provider business mailing address

3236 LANDMARK DR STE 110
NORTH CHARLESTON SC
29418-8490
US

V. Phone/Fax

Practice location:
  • Phone: 843-290-4885
  • Fax: 843-793-2603
Mailing address:
  • Phone: 843-290-4885
  • Fax: 843-793-2603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OCTAVIA WILLIAMS
Title or Position: OWNER
Credential:
Phone: 843-303-4831