NPI | 1245718444 |
---|---|
Doing Business As | RAPHA WELLS PRIMARY HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TABITHA J. WILLIAMS Owner 803-712-1103 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2018-07-31 |
Last Update Date | 2020-01-07 |