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2677 Main St Williston SC 29853-0177 | |
(803) 266-5740 | |
(803) 266-5607 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2677 Main St, Williston, South Carolina |
Authorized Official Name and Position | Charlie Clifton Alsbrooks (ADMINISTRATOR) |
Authorized Official Contact | 8036416277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 177 2677 Main Street Williston SC 29853-0177 Ph: (803) 266-5740 | 2677 Main St Williston SC 29853-0177 Ph: (803) 266-5740 |
NPI Number | 1134252588 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 07/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134252588 | NPI | - | NPPES |
RHC028 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 08504 (South Carolina) | Primary |