MEDICARE: MEANINGFUL MEDICAL SERVICES, LLC

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1619823929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEANINGFUL MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	1932 SYRACUSE COMMUNITY RD
Second Line	:
City	:	DARLINGTON
State	:	SC
Zip	:	29532-6817
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1811 S IRBY ST STE 109
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29505-3444
Country	:	US
Telephone Number	:	843-307-4645
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA FELDER
Credential	:
Telephone Number	:	843-307-4645

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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