Emily S Wilson Foundation

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EMILY S WILSON FOUNDATION

Practice address

107 E Mill St
Kingstree, SC 29556-3427

Phone

(843) 687-6843

Fax

(843) 407-7297

NPI assigned

Jul 11, 2012

Organization subpart

No

Name

Tanya W Mullins

Title

Chairperson

Phone

(843) 687-6843

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2012.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1154686558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7003",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295027003",
            "telephone_number": "843-687-6843",
            "fax_number": "843-407-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MILL ST",
            "city": "KINGSTREE",
            "state": "SC",
            "postal_code": "295563427",
            "telephone_number": "843-687-6843",
            "fax_number": "843-407-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY S WILSON FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "843-687-6843"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Kingstree, SC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.