Search › South Carolina › 207Q00000X
Wachovia Banks, D.O
NPI 1487880126 · on the registry since 2009
Practice
- Address
- 1175 Grey Pine Dr
Blythewood, SC 29016 - Phone
- (803) 995-5599
- Organisation at this address
- Amethyst Health, Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 3909 Lapalco Blvd, Harvey, LA
- 325 S Belmont St, York, PA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
207Q00000X
208D00000X
390200000X - Licence states on file
- PA, SC, LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina