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WELLNESS BOUTIQUE LLC
NPI 1497002901
Obstetrics & Gynecology in Hartsville, SC

Active since August 14, 2012
107 W COLLEGE AVE, HARTSVILLE, SC 29550(843) 861-2726 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellness Boutique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLNESS BOUTIQUE LLC (NPI 1497002901) is a healthcare organization registered as an obstetrics & gynecology in Hartsville, South Carolina and active in the NPI registry since August 2012. The organization lists Mchelle S Quaye, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1497002901
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLNESS BOUTIQUE LLC
Location Address107 W COLLEGE AVEHartsville, SC 29550-4113
Mailing AddressPo Box 1763Hartsville, SC 29551-1763 · (843) 861-2726
Phone(843) 861-2726
Organization SubpartNo
Authorized OfficialMchelle S QuayeMedical Director · (843) 861-2726
Enumeration DateAugust 14, 2012
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1497002901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in SC · 22891
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
107 W COLLEGE AVE, Hartsville, SC 29550
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Other Identifiers 2

Medicare UPINH06257SC
Medicaid28916SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH AND URGENT CARE LLC
Nurse Practitioner (Family)
107 W COLLEGE AVE
HARTSVILLE, SC 29550
Darlington County (843) 951-0053
NEXTPHASEMD
Clinic/Center (Medical Specialty)
107 W COLLEGE AVE
HARTSVILLE, SC 29550
Darlington County (843) 861-2726
MICHELLE SUZANNE LUSK M.D.
Obstetrics & Gynecology
107 W COLLEGE AVE
HARTSVILLE, SC 29550
Darlington County (843) 639-6012
BARBARA DAWN CALHOUN APRN
Nurse Practitioner (Family)
107 W COLLEGE AVE
HARTSVILLE, SC 29550
Darlington County (843) 951-0053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellness Boutique LLC's NPI number?

The NPI number for Wellness Boutique LLC is 1497002901. It was assigned to this organization in the NPPES registry on August 14, 2012.

Where is Wellness Boutique LLC located?

Wellness Boutique LLC is located at 107 W College Ave, Hartsville, SC 29550. The listed phone number is (843) 861-2726.

What is Wellness Boutique LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Wellness Boutique LLC was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.