Organization · Type 2 NPI

ST James Health and Wellness Inc

Federally Qualified Health Center (FQHC) · Georgetown, SC

NPI number 1366568594 Active

Practice location

422 N Fraser St
Georgetown, SC 29440-3260

Call (843) 436-1333 Map

Fax (843) 436-1335

Mailing address

PO Box 608
Mc Clellanville, SC 29458-0608

Other practice locations

57 Jessamine Ave, Georgetown, SC 29440-5837 · (843) 546-8686

Specialties and licenses

Taxonomy	Code	License
Pediatric Adolescent Medicine Physician	2080A0000X	37759 (SC)
Clinic/Center	261Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

3 other providers at this address

Other federally qualified health center (fqhc) providers in Georgetown

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NPI record

NPI: 1366568594
Entity type: Organization (Type 2)
Issued: Mar 21, 2007
Last updated: Jun 22, 2022
Status: Active

Other names

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ST James Santee Family Health Center Inc · doing business as
ST James Santee Family Health Center Inc · doing business as

Authorized official

Mrs. Sandra Gilliard
CEO
(843) 887-3274

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366568594

ST James Health and Wellness Inc's National Provider Identifier is 1366568594, issued on Mar 21, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Georgetown, SC. The record was last updated on Jun 22, 2022.