Organization
WILLIAMS CREEK EMERGENCY PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (VP)
(972) 251-1132
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(973) 251-1132
Mailing address
PO BOX 37894, PHILADELPHIA, PA 19101-0194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/30/2012
Last updated
12/05/2019
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