Provider Demographics
NPI:1538820527
Name:CAROLINAS HEALTH AND WELLNESS LLC
Entity type:Organization
Organization Name:CAROLINAS HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALAMADINE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:704-569-4672
Mailing Address - Street 1:339 SPECTRUM ROAD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29486-0903
Mailing Address - Country:US
Mailing Address - Phone:704-569-4672
Mailing Address - Fax:803-324-0011
Practice Address - Street 1:430 S HERLONG AVENUE
Practice Address - Street 2:SUITE 106
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-1094
Practice Address - Country:US
Practice Address - Phone:704-569-4672
Practice Address - Fax:803-324-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty