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General NPI Number Information
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NPI Number | 1205770708
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Entity Type | Organization
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Legal Business Name | RESURRECTION HEALTH
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1520 REMOUNT RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3233
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Country | US
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Telephone | 843-566-5693
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 REMOUNT RD
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-3233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOHN DAVID WILLIAMSON
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Credential | MD, MBA
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Telephone | 270-363-8059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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