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Organization

EMILY S WILSON FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANYA W MULLINS (CHAIRPERSON)
(843) 687-6843
Entity
Organization

Contact information

Practice address
107 E MILL ST, KINGSTREE, SC 29556-3427
(843) 687-6843
(843) 407-7297
Mailing address
PO BOX 7003, FLORENCE, SC 29502-7003
(843) 687-6843
(843) 407-7297

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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