Organization
ST JAMES HEALTH AND WELLNESS INC
Active
Other names
St James Santee Family Health Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA GILLIARD (CEO)
(843) 887-3274
Entity
Organization
Contact information
Practice address
422 N FRASER ST, GEORGETOWN, SC 29440-3260
(843) 436-1333
(843) 436-1335
Mailing address
PO BOX 608, MC CLELLANVILLE, SC 29458-0608
(843) 887-3274
(843) 887-3929
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
37759
SC
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377596
—
SC
Enumeration date
03/21/2007
Last updated
06/22/2022
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