Fort Mill Senior Wellness LLC
Fort Mill Senior Wellness LLC is a Geriatric Medicine (Internal Medicine) Physician in Rock Hill, South Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
331 E Main St Ste 200Rock Hill, SC 29730-5384
Phone: (704) 438-0687
Fax: (844) 591-0104
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|---|
| Geriatric Medicine (Internal Medicine) Physician | Taxonomy 207RG0300X |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1336992601 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelli Gagne — President · (860) 346-0252 |
| Other names | Self Employed |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 1, 2024 |
| Mailing address | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 |