Healthcare Provider Details

I. General information

NPI: 1063386175
Provider Name (Legal Business Name): RIVERBEND ENDOCRINE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 EXPRESS LN
ORANGEBURG SC
29118-2477
US

IV. Provider business mailing address

696 CITADEL RD
ORANGEBURG SC
29118-9721
US

V. Phone/Fax

Practice location:
  • Phone: 803-878-9888
  • Fax: 855-538-8720
Mailing address:
  • Phone: 803-878-9888
  • Fax: 855-538-8720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: APRIL INABINET
Title or Position: APRN/OWNER
Credential:
Phone: 803-878-9888