Green, William Edwin

Green, William Edwin is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 103, Columbia SC 29203-8003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Green, William Edwin can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
15 Medical Park Rd Suite 103 Columbia SC 29203-8003
Phone: (803) 434-4300
Fax: (803) 434-4351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17477 South Carolina
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 17477 South Carolina

Profile Details

NPI number 1922068659
LBN Legal business name Green, William Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Dec 3rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922068659 NPPES
South Carolina MEDICAID 174778

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