Organization
WACCAMAW MEDICAL SERVICES, INC.
Active
Other names
Riegelwood Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL E BOYES PA-C (ADMINISTRATOR)
(910) 655-0021
Entity
Organization
Contact information
Practice address
210 HIGHWAY 87, RIEGELWOOD, NC 28456-0118
(910) 655-0021
(910) 655-2777
Mailing address
210 HWY 87, RIEGELWOOD, NC 28456-0118
(910) 655-0021
(910) 655-2777
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1128Q
NC BC
NC
05
—
343911A
—
NC
05
—
343911C
—
NC
05
—
89014
—
NC
Enumeration date
04/23/2007
Last updated
09/22/2008
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