University Specialty Clinics - University Primary Care

NPI 1578595856 - Family Medicine - 207Q00000X

NPI Details
NPI 1578595856
Enumeration Date 07/07/2006
Last Updated 12/03/2014
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM D. WILLIAM
Position CMO
Phone (803) 212-7130
Fax (803) 212-7160
Practice Location
TWO MEDICAL PARK
SUITE 203
COLUMBIA SC, 29203-6839, US
Phone (803) 212-7130
Fax (803) 212-7160
Business Location
15 MEDICAL PARK
SUITE 300
COLUMBIA SC, 29203-6843, US
Phone (803) 545-5022
Fax (803) 256-0977
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, University Specialty Clinics - University Primary Care NPI is 1578595856, taxonomy code is 207Q00000X University Specialty Clinics - University Primary Care physically located at Two Medical Park, Columbia SC, 29203-6839. NPI Number 1033115704 has the healthcare provider type.

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1578595856 NPI number is provided on an as is basis without warranty of any kind. 1578595856 is maintained by the National Plan & Provider Enumeration System. The contents of University Specialty Clinics - University Primary Care are for informational purposes only.