WOODS BAY FAMILY CARE LLC


Address: 128 E Baker St, Olanta, SC 29114-9101
Phone: 8436163410

WOODS BAY FAMILY CARE LLC (NPI# 1649623653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649623653
Entity Type Organization
Organization Name WOODS BAY FAMILY CARE LLC
Practice Address 128 E Baker St
Olanta
SC 29114-9101
Practice Telephone 8436163410
Practice Fax Number 8667074980
Mailing Telephone 8436163410
Mailing Fax Number 8667074980
Enumeration Date 2016-07-14
Last Update Date 2016-11-21
Authorized Official Name MR. GEORGE MAXIE HARRISON III (PRESIDENT)
Authorized Official Telephone 8436163410
Authorized Official Credential APRN FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 128 E BAKER ST
City OLANTA
State SC
Zip Code 29114-9101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518064229 Pee Dee Healthcare Pa Clinic/Center 211 South Jones Road, Olanta, SC 29114 2006-09-17
1508809542 Black River Healthcare, Inc. Clinic/Center 139 Main Street, Olanta, SC 29114 2006-06-14
1841272895 Priscilla L Welch Family Medicine 211 South Jones Rd, Olanta, SC 29114 2005-11-16
1003043845 Pee Dee Health Care, Pa Clinic/Center 211 South Jones Rd, Olanta, SC 29114 2009-06-19
1265535520 Monica Michelle Vargas Pharmacist 223 N Jones Rd, Olanta, SC 29114 2006-09-05
1528172384 Mary G. Daniels Nurse Practitioner 139 Main St, Olanta, SC 29114 2006-08-18
1306953096 F & L Drug Store Inc Pharmacy 223 N Jones Rd, Olanta, SC 29114-0428 2006-08-25
1619995065 Rebecca Ruth Haskill Strowd Family Medicine 139 Main Street, Olanta, SC 29114-0488 2006-07-17
1003253519 Barbara Brown Registered Nurse 312 N. Jones Road, Olanta, SC 29114-0628 2013-05-24
1063859338 Dixie M Floyd Licensed Practical Nurse 4006 Rhett Dr, Olanta, SC 29114-9366 2013-05-28
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1417483355 New Beginnings Health Services Clinic/Center 176 Dermis Ave, Hardeeville, SC 29927-4161 2017-05-11
1669919007 Hypertension and Diabetes Prevention and Treatment Center Inc Clinic/Center 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 2017-01-24
1093262511 Quad/med, LLC Clinic/Center 224a Harbor Freight Rd, Dillon, SC 29536-8501 2016-09-01
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Competitor

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City OLANTA
Zip Code 29114

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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