| Williamsburg Medical Associates Pa | |
|
500 Thurgood Marshall Blvd Suite F Kingstree SC 29556 | |
| (843) 355-7461 | |
| (843) 355-3616 |
| Full Name | Williamsburg Medical Associates Pa |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 500 Thurgood Marshall Blvd, Kingstree, South Carolina |
| Authorized Official Name and Position | Peggy V Mims (OFFICE MANAGER ASSISTANT) |
| Authorized Official Contact | 8433557461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williamsburg Medical Associates Pa 500 Thurgood Marshall Blvd Suite F Kingstree SC 29556 Ph: (843) 355-7461 | Williamsburg Medical Associates Pa 500 Thurgood Marshall Blvd Suite F Kingstree SC 29556 Ph: (843) 355-7461 |
| NPI Number | 1073652137 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073652137 | NPI | - | NPPES |
| PA7215 | Medicaid | SC | |
| 428935 | Other | SC | RURAL HEALTH MEDICARE |
| 055264 | Medicaid | SC | |
| 428935 | Other | TN | RURAL HEALTH MEDICARE |
| RHC103 | Other | SC | RURAL HEALTH MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 5526 (South Carolina) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | 5526 (South Carolina) | Primary |
Williamsburg Regional Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Thurgood Marshall Hwy, Suite F, Kingstree, SC 29556 Phone: 843-355-1772 Fax: 843-355-1775 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Short St, Kingstree, SC 29556 Phone: 843-355-9113 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 W Main St, Kingstree, SC 29556 Phone: 843-355-3621 | |
Carolina's Medical Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Green St, Kingstree, SC 29556 Phone: 843-354-3572 | |
Mcleod Family Medicine Kingstree Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Nelson Blvd Ste 200, Kingstree, SC 29556 Phone: 843-355-5459 Fax: 843-355-9704 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 W Main St, Kingstree, SC 29556 Phone: 843-687-0435 |