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Organization
JAMES-WILLMOT CLINIC
Active
Organization
JAMES-WILLMOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C JANICE CAMPBELL (PRACTICE MANAGER)
(864) 476-8191
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, WOODRUFF, SC 29388-8704
(864) 476-8191
(864) 476-8193
Mailing address
100 MEDICAL CENTER DR, WOODRUFF, SC 29388-8704
(864) 476-8191
(864) 476-8193
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM2784
MEDICARE ID TYPE UNSPECIFIED
SC
05
—
GP0597
—
SC
Enumeration date
04/18/2006
Last updated
05/02/2013
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