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45 Roundtree St Williston SC 29853-2303 | |
(803) 266-3600 | |
(803) 266-3641 |
Full Name | |
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Speciality | Family Medicine |
Location | 45 Roundtree St, Williston, South Carolina |
Authorized Official Name and Position | Mary T. Valliant (CEO) |
Authorized Official Contact | 8035414365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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811 Reynolds Rd Attn: Clinic Business Office Barnwell SC 29812-1573 Ph: (803) 266-3600 | 45 Roundtree St Williston SC 29853-2303 Ph: (803) 266-3600 |
NPI Number | 1245594571 |
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Provider Enumeration Date | 07/02/2012 |
Last Update Date | 07/02/2012 |
Identifier | Type | State | Issuer |
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1245594571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |