Active NPI
Carolina Medical Spas PA
Doing business as Purewellness Spas
- Pain Medicine (Anesthesiology) Physician
- Fort Mill, SC
National Provider Identifier
1255366985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- CAROLINA MEDICAL SPAS PA
- Doing business as
- Purewellness Spas
- Practice address
- 145 Lake Point Dr
Fort Mill, SC 29708-7870 - Phone
- (803) 389-5961
- NPI assigned
- Jul 11, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gisele J Girault, MD
- Title
- President
- Phone
- (980) 297-7873
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NH | Primary |
Addresses
Primary practice location
145 Lake Point Dr
Fort Mill, SC 29708-7870
Mailing address
8035 Providence Rd
Ste 340
Charlotte, NC 28277-9716
Phone (980) 297-7873
Other names 1
- PUREWELLNESS SPAS
National Provider Directory
National Provider DirectoryLocations
8035 Providence Rd
Ste 340
Charlotte, NC 28277
Phone (704) 542-3988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255366985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8035 PROVIDENCE RD",
"address_2": "STE 340",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779716",
"telephone_number": "980-297-7873",
"fax_number": "980-297-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 LAKE POINT DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087870",
"telephone_number": "803-389-5961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA MEDICAL SPAS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIRAULT",
"authorized_official_first_name": "GISELE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "980-297-7873",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PUREWELLNESS SPAS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mill, SC
- Carolina Family Eyecare
- Carolina Integrated Medicine LLC
- Carolina Interventional Pain Associates, P.a (Interventional Pain Partners)
- Carolina Interventional Pain Associates, PA (Pain Medicine Specialists of Fort Mill)
- Carolina Medical Partners PLLC
- Carolina Oms LLC
- Carolina Oral & Maxillofacial Surgery
- Carolina Orthopaedic Surgery Associates, P.a.
- Carolina Podiatry Group, Inc.
- Carolina Professional Dentistry,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.