OrganizationActive
Wal Mart
NPI 1639598931 · Health Service Clinic/Center · Travelers Rst, SC
Provider details
- NPI number
- 1639598931
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raj Pandya, Store Manager(864) 834-7179
- License
- 4637 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9 Benton Rd
Travelers Rst, SC 29690-2168
Phone: (864) 834-7179
Street-level locationGet directions
Mailing address
9 Benton Rd
Travelers Rst, SC 29690-2168
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2014-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.