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WILLIAMSBURG MEDICAL ASSOCIATES PA
NPI 1073652137
Clinic/Center - Rural Health in Kingstree, SC

Active since February 05, 2007
500 THURGOOD MARSHALL BLVD, SUITE F, KINGSTREE, SC 29556(843) 355-7461(843) 355-3616 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Williamsburg Medical Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAMSBURG MEDICAL ASSOCIATES PA (NPI 1073652137) is a healthcare organization registered as a rural health in Kingstree, South Carolina and active in the NPI registry since February 2007. The organization lists Peggy V Mims, Office Manager Assistant, as its authorized official.

NPPES Registry Identity

NPI1073652137
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILLIAMSBURG MEDICAL ASSOCIATES PA
Location Address500 THURGOOD MARSHALL BLVD, SUITE FKingstree, SC 29556
Mailing Address500 Thurgood Marshall Blvd, Suite FKingstree, SC 29556 · (843) 355-7461 · Fax (843) 355-3616
Phone(843) 355-7461
Fax(843) 355-3616
Organization SubpartNo
Authorized OfficialPeggy V MimsOffice Manager Assistant · (843) 355-7461
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJanuary 10, 2008
✔ NPI 1073652137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in SC · 5526
Also ListedGeneral PracticeTaxonomy 208D00000X · License 5526 (SC)
500 THURGOOD MARSHALL BLVD, Kingstree, SC 29556
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Other Identifiers 7

OtherRHC103SC · Rural Health Medicaid
Medicare OSCAR/certification428935TN
Other428935TN · Rural Health Medicare
Medicaid055264SC
Other428935SC · Rural Health Medicare
Medicare UPINC60527
MedicaidPA7215SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. HARRY WELLS FLOYD MD
General Practice
500 THURGOOD MARSHALL BLVD, SUITE F
KINGSTREE, SC 29556
Williamsburg County (843) 355-7461
FRANK A TREFNY MD
General Practice
500 THURGOOD MARSHALL BLVD, SUITE H
KINGSTREE, SC 29556
Williamsburg County (843) 354-5426
FRANK A TREFNY MD PA
General Practice
500 THURGOOD MARSHALL BLVD, SUITE H
KINGSTREE, SC 29556
Williamsburg County (843) 354-5426

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Williamsburg Medical Associates PA's NPI number?

The NPI number for Williamsburg Medical Associates PA is 1073652137. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Williamsburg Medical Associates PA located?

Williamsburg Medical Associates PA is located at 500 Thurgood Marshall Blvd Suite F, Kingstree, SC 29556. The listed phone number is (843) 355-7461.

What is Williamsburg Medical Associates PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Williamsburg Medical Associates PA was last updated on January 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.