MEDICARE: SARAH WELCH L. AC., MAOM

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
1	171100000X	Acupuncturist	ACUP387	SC

General Provider Information

NPI Number	:	1487165825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WELCH L. AC., MAOM

Provider Business Mailing Address
First Line	:	1230 TALIAFERRO AVE
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412-5226
Country	:	US
Telephone Number	:	828-301-0766
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 SAINT ANDREWS BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7196
Country	:	US
Telephone Number	:	843-919-0757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	01/29/2025

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