Provider Demographics
NPI:1023380318
Name:HEALING HANDS WELLNESS PC
Entity Type:Organization
Organization Name:HEALING HANDS WELLNESS PC
Other - Org Name:WILLIAMSBURG SPINE AND NERVE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAUNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAZIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-618-9595
Mailing Address - Street 1:498 WANDO PARK BLVD STE 1150
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7971
Mailing Address - Country:US
Mailing Address - Phone:843-940-5166
Mailing Address - Fax:
Practice Address - Street 1:498 WANDO PARK BLVD STE 1150
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7971
Practice Address - Country:US
Practice Address - Phone:843-618-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty