Mims, William Walton

Mims, William Walton is an individual health care provider with primary practice located at 1175 Cook Rd Suite 310, Orangeburg SC 29118-8201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mims, William Walton can be contacted via phone (803) 534-4611.

Contact Information

Primary practice address
1175 Cook Rd Suite 310 Orangeburg SC 29118-8201
Fax: (803) 534-7269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 5227 South Carolina

Profile Details

NPI number 1922052026
LBN Legal business name Mims, William Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 19 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 1922052026 NPPES
South Carolina MEDICAID PA6252

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