OrganizationActive
Abundant Grace Wellness, LLC
NPI 1962092114 · Adult Health Nurse Practitioner · Charleston, SC
Provider details
- NPI number
- 1962092114
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Gloria Wilson, Authorized Official/Provider
Practice location
2045 Maybank Hwy
Charleston, SC 29412
Phone: (843) 801-0861
Fax: (843) 768-1473
Mailing address
2414 Racquet Club Drive
Johns Island, SC 29455-6300
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2023-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.