Organization
ALSTON WILKES SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. S. ANNE WALKER (EXECUTIVE DIRECTOR)
(803) 799-2490
Entity
Organization
Contact information
Practice address
3519 MEDICAL DR, COLUMBIA, SC 29203-6504
(803) 799-2490
(803) 540-7223
Mailing address
3519 MEDICAL DR, COLUMBIA, SC 29203-6504
(803) 799-2490
(803) 540-7223
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897MXH
—
SC
05
—
900MXH
—
SC
05
—
943MXH
—
SC
05
—
CBT-014
—
SC
Enumeration date
12/05/2006
Last updated
04/16/2008
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