Williamsburg Medical Associates Pa
LBN: Williamsburg Medical Associates Pa
Williamsburg Medical Associates Pa is an health care organization with primary practice located at 500 Thurgood Marshall Blvd Suite F, Kingstree SC 29556. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Williamsburg Medical Associates Pa can be contacted via phone (843) 355-7461, or through Mims, Peggy V via phone (843) 355-7461.
Contact Information
Primary practice address
500 Thurgood Marshall Blvd Suite F
Kingstree SC 29556
Phone: (843) 355-7461
Fax: (843) 355-3616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5526 | South Carolina |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 5526 | South Carolina |
Profile Details
| NPI number | 1073652137 |
|---|---|
| LBN Legal business name | Williamsburg Medical Associates Pa |
| DBA Doing business as | |
| Authorized official | Mims, Peggy V OFFICE MANAGER ASSIS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jan 10th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073652137 | NPPES |
| South Carolina | MEDICAID | PA7215 | |
| South Carolina | Other | 428935 | |
| South Carolina | MEDICAID | 055264 | |
| South Carolina | Other | 428935 | |
| South Carolina | Other | RHC103 |
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