Provider Demographics
NPI:1306441282
Name:WELLNESS MEDICAL EQUIPMENT AND SUPPLIES
Entity type:Organization
Organization Name:WELLNESS MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-470-3585
Mailing Address - Street 1:454 ANDERSON RD S # BTC583
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-3392
Mailing Address - Country:US
Mailing Address - Phone:803-470-3585
Mailing Address - Fax:855-448-9509
Practice Address - Street 1:454 ANDERSON RD S
Practice Address - Street 2:SUITE #132
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:803-373-2840
Practice Address - Fax:855-448-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies