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NPI Code Detail

MEDICARE: SOUTH CAROLINA INTEGRATIVE HEALTH INC.

MEDICARE: SOUTH CAROLINA INTEGRATIVE HEALTH INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1306650932
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CAROLINA INTEGRATIVE HEALTH INC.
Provider Business Mailing Address
First Line : 1807 CROWNE COMMONS WAY STE F8
Second Line :
City : JOHNS ISLAND
State : SC
Zip : 29455-4931
Country : US
Telephone Number : 843-806-9402
Fax Number :
Provider Business Practice Location Address
First Line : 1807 CROWNE COMMONS WAY STE F8
Second Line :
City : JOHNS ISLAND
State : SC
Zip : 29455-4931
Country : US
Telephone Number : 843-806-9402
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TREAYOR WESLEY SMITH
Credential : L.AC
Telephone Number : 843-806-9402
Provider Enumeration Date : 02/04/2025
Last Update Date : 02/04/2025

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Directions to “SOUTH CAROLINA INTEGRATIVE HEALTH INC. ” Practice Location

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