Williamsburg County Djj | |
209 Short St Kingstree SC 29556-3926 | |
(843) 355-2772 | |
Not Available |
Full Name | Williamsburg County Djj |
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Speciality | Community/behavioral Health |
Location | 209 Short St, Kingstree, South Carolina |
Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
Authorized Official Contact | 8038965940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Williamsburg County Djj Po Box 21069 Columbia SC 29221-1069 Ph: () - | Williamsburg County Djj 209 Short St Kingstree SC 29556-3926 Ph: (843) 355-2772 |
NPI Number | 1285988048 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285988048 | NPI | - | NPPES |
DJJ045 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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