Organization
MICHAEL WATSON RURAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D GLENN M.D. (OWNER)
(803) 245-5144
Entity
Organization
Contact information
Practice address
498 NORTH ST, BAMBERG, SC 29003-1377
(803) 245-5144
(803) 245-6277
Mailing address
498 NORTH ST, BAMBERG, SC 29003-1377
(803) 245-5144
(803) 245-6277
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
261QR1300X
SC
Other
Enumeration date
06/28/2006
Last updated
04/28/2008
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