Provider Demographics
NPI:1699577247
Name:SOUTH CAROLINA ACUPUNCTURE WELLNESS, LLC
Entity type:Organization
Organization Name:SOUTH CAROLINA ACUPUNCTURE WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:ZUCCARO
Authorized Official - Last Name:MINNELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DAC
Authorized Official - Phone:551-587-2287
Mailing Address - Street 1:1622 E NORTH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-1329
Mailing Address - Country:US
Mailing Address - Phone:864-516-6868
Mailing Address - Fax:
Practice Address - Street 1:1622 E NORTH ST STE 3
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-1329
Practice Address - Country:US
Practice Address - Phone:551-587-2287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EAST MEETS WEST ACUPUNCTURE PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center