Organization
CAROLINA RURAL PRACTICE MANAGEMENT, INC.
Active
Other names
Williston Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLIE CLIFTON ALSBROOKS (ADMINISTRATOR)
(803) 641-6277
Entity
Organization
Contact information
Practice address
2677 MAIN ST, WILLISTON, SC 29853-0177
(803) 266-5740
(803) 266-5607
Mailing address
PO BOX 177, 2677 MAIN STREET, WILLISTON, SC 29853-0177
(803) 266-5740
(803) 266-5607
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
08504
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC028
—
SC
Enumeration date
03/14/2007
Last updated
07/12/2007
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