Organization
RURAL HEALTH SERVICES, INC.
Active
Other names
Margaret J. Weston Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES L. COLEMAN JR. (CEO)
(803) 593-9283
Entity
Organization
Contact information
Practice address
4645 AUGUSTA ROAD, CLEARWATER, SC 29822
(803) 593-9283
(803) 593-0607
Mailing address
PO BOX 277, CLEARWATER, SC 29822-0277
(803) 593-9283
(803) 593-0607
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166100
—
SC
Enumeration date
12/13/2006
Last updated
08/22/2020
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