Organization
DRS. WILLIAMSON & GILLESPIE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J RICHARD WILLIAMSON M.D. (PRESIDENT)
(803) 531-2300
Entity
Organization
Contact information
Practice address
1175 COOK RD, SUITE 145, ORANGEBURG, SC 29118-8201
(803) 531-2300
(803) 531-0133
Mailing address
1175 COOK RD, SUITE 145, ORANGEBURG, SC 29118-8201
(803) 531-2300
(803) 531-0133
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
9916
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHC190
—
SC
Enumeration date
07/10/2010
Last updated
07/10/2010
Update your record
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