William J Fravel JR.

NPI 1508872367 - Family Medicine - 207Q00000X

NPI Details
NPI 1508872367
Gender Male
Enumeration Date 08/01/2006
Last Updated 10/28/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1846 DUTCH FORK RD
IRMO SC, 29063-8830, US
Phone (803) 781-5200
Fax
Business Location
508 HULON LN
WEST COLUMBIA SC, 29169-3439, US
Phone (803) 781-5200
Fax (803) 781-3843
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number 17838
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According to our database, Dr. William J Fravel JR. NPI is 1508872367, taxonomy code is 207Q00000X and license number is 17838, license state is located at South Carolina. William J Fravel JR. physically located at 1846 Dutch Fork Rd, Irmo SC, 29063-8830. NPI Number William J Fravel JR. has the Individual type.

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1508872367 NPI number is provided on an as is basis without warranty of any kind. 1508872367 is maintained by the National Plan & Provider Enumeration System. The contents of William J Fravel JR. are for informational purposes only.