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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
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