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Organization

DERRICK A WILLIAMS DBA MEDSOUTH

Active
Other names
Medsouth
Organization subpart
No

Provider details

NPI number
Authorized official
DERRICK A WILLIAMS (OWNER)
(843) 398-4449
Entity
Organization

Contact information

Practice address
1136 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5019
(843) 398-4449
Mailing address
1136 TIMMONSVILLE HWY, DARLINGTON, SC 29532-5019
(843) 398-4449

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
214
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AB0257
SC
Enumeration date
10/31/2006
Last updated
06/20/2008
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