| Alston Wilkes Society | |
|
3519 Medical Dr Columbia SC 29203-6504 | |
| (803) 799-2490 | |
| (803) 540-7223 |
| Full Name | Alston Wilkes Society |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3519 Medical Dr, Columbia, South Carolina |
| Authorized Official Name and Position | S. Anne Walker (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8037992490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alston Wilkes Society 3519 Medical Dr Columbia SC 29203-6504 Ph: (803) 799-2490 | Alston Wilkes Society 3519 Medical Dr Columbia SC 29203-6504 Ph: (803) 799-2490 |
| NPI Number | 1538227087 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538227087 | NPI | - | NPPES |
| 900MXH | Medicaid | SC | |
| CBT-014 | Medicaid | SC | |
| 897MXH | Medicaid | SC | |
| 943MXH | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (South Carolina) | Primary |
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