Provider Demographics
NPI:1033583133
Name:PALMETTO WELLNESS AND INJURY CENTER OF MARION COUNTY
Entity Type:Organization
Organization Name:PALMETTO WELLNESS AND INJURY CENTER OF MARION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:843-423-7363
Mailing Address - Street 1:362 S BARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-8668
Mailing Address - Country:US
Mailing Address - Phone:843-423-7363
Mailing Address - Fax:843-423-7364
Practice Address - Street 1:2516 EAST HIGHWAY 76
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-6348
Practice Address - Country:US
Practice Address - Phone:843-423-7363
Practice Address - Fax:843-423-7364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-30
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty