| Welvista | |
|
1730a Highway 301 N Dillon SC 29536-1950 | |
| (843) 774-6200 | |
| (843) 774-6283 |
| Full Name | Welvista |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1730a Highway 301 N, Dillon, South Carolina |
| Authorized Official Name and Position | Georgia Bennett Famuliner (OPERATIONS DRIECTOR) |
| Authorized Official Contact | 8035844803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Welvista Po Box 1502 Dillon SC 29536-1502 Ph: (843) 774-6200 | Welvista 1730a Highway 301 N Dillon SC 29536-1950 Ph: (843) 774-6200 |
| NPI Number | 1922189885 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 09/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922189885 | NPI | - | NPPES |
| ZA9609 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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