# RAPHA WELLS PRIMARY HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RAPHA WELLS PRIMARY HEALTHCARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245718444
- **Authorized official:** MS. TABITHA J. WILLIAMS (OWNER)
- **Authorized official phone:** (803) 712-1103

## Contact information

- **Practice address:** 1013 KINCAID BRIDGE RD, WINNSBORO, SC 29180-7113
- **Practice address phone:** (803) 402-0558
- **Mailing address:** 27 SPINNAKER DR, WINNSBORO, SC 29180-7210
- **Mailing address phone:** (803) 402-0558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 01/07/2020