DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WACCAMAW ULTRASOUND & DIAGNOSTICS, INC.

MEDICARE: WACCAMAW ULTRASOUND & DIAGNOSTICS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1293D00000XPhysiological Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457336174
Entity Type Code : Organization
Provider Name (Legal Business Name) : WACCAMAW ULTRASOUND & DIAGNOSTICS, INC.
Provider Business Mailing Address
First Line : 112 E WHITE OAK ST
Second Line :
City : LAKE WACCAMAW
State : NC
Zip : 28450-2128
Country : US
Telephone Number : 910-642-9085
Fax Number : 910-642-3082
Provider Business Practice Location Address
First Line : 619 JEFFERSON ST
Second Line :
City : WHITEVILLE
State : NC
Zip : 28472-3707
Country : US
Telephone Number : 910-642-9085
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANTHONY JOHN GRIGSBY
Credential :
Telephone Number : 910-642-9085
Provider Enumeration Date : 12/15/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1982701827 — GSS,LLC
Practice Location Address:
607 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-642-8141
Practice Fax: 910-642-7494
1568450682 — DR. JOHN DAVID HODGSON MD
Practice Location Address:
619 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-642-0331
Practice Fax: 910-642-0597
1073502936 — MARIE GRAHAM CAMPBELL FNP
Practice Location Address:
619 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-642-0331
Practice Fax:
1770561102 — DR. CYTHIA MOSELEY KIRBY
Practice Location Address:
619 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-914-0370
Practice Fax: 910-642-1065
1073573770 — PEGGY NEWMAN FNP
Practice Location Address:
619 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-642-0331
Practice Fax:
1639131022 — DAVID ANSON MARTIN JR. MD
Practice Location Address:
619 JEFFERSON ST
WHITEVILLE, NC
28472-3707
Practice Phone: 910-642-0331
Practice Fax:

Directions to “WACCAMAW ULTRASOUND & DIAGNOSTICS, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.