James-Willmot Clinic
Organization Active NPI General Practice Physician · Woodruff, SC
NPI 1730144262 · NPPES record last updated May 2, 2013
Key facts
- NPI
- 1730144262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- Legal business name
- JAMES-WILLMOT CLINIC
- Practice address
- 100 Medical Center Dr
Woodruff, SC 29388-8704 - Phone
- (864) 476-8191
- Fax
- (864) 476-8193
- NPI assigned
- Apr 18, 2006
- Organization subpart
- No
Authorized official
- Name
- C Janice Campbell
- Title
- Practice Manager
- Phone
- (864) 476-8191
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | Yes |
Addresses
Primary practice location
100 Medical Center Dr
Woodruff, SC 29388-8704
Mailing address
100 Medical Center Dr
Woodruff, SC 29388-8704
Phone (864) 476-8191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM2784 | Other | SC | MEDICARE ID TYPE UNSPECIFIED |
| GP0597 | Medicaid | SC |
Other providers in Woodruff, SC
- Christina Hyland
- Thorpe A Jacob
- Meghan Dickey Jahnke
- James Clinic Inc
- James H. Allen
- Katherine Anne Janelle
- Terry E Jeffries
- Mary Kathryn Johns
- Victoria Grace Johnson
- Jamie Leigh Keeney
All providers in Woodruff, SC · General Practice Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.