Mims, William Walton
Mims, William Walton is an individual health care provider with primary practice located at 1700 Skylyn Dr , Spartanburg SC 29307-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mims, William Walton can be contacted via phone (864) 573-3777.Contact Information
Primary practice address
1700 Skylyn Dr
Spartanburg SC 29307-1041
Phone: (864) 573-3777
Fax: (864) 573-3261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 16145 | South Carolina |
Profile Details
| NPI number | 1528033198 |
|---|---|
| LBN Legal business name | Mims, William Walton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2006 |
| Last updated | Apr 17th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528033198 | NPPES |
| North Carolina | Other | 9701066 | STATE MEDICAL BOARD |
| North Carolina | Other | 16145 | STATE MEDICAL BOARD |
| North Carolina | MEDICAID | Q50203 | STATE MEDICAL BOARD |
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