Organization
WINYAH DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WHITLOCK (PRESIDENT)
(843) 979-9729
Entity
Organization
Contact information
Practice address
21D PROFESSIONAL DR, PAWLEYS ISLAND, SC 29585
(843) 979-9729
(843) 979-1366
Mailing address
PO BOX 4443, PAWLEYS ISLAND, SC 29585-8443
(843) 979-9729
(843) 979-1366
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630001644
RAILROAD MEDICARE
SC
05
—
SL0041
—
SC
Enumeration date
05/26/2006
Last updated
07/09/2008
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