Walvoord, Charles Lewis

Walvoord, Charles Lewis is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Suite 340, Columbia SC 29203-6859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Walvoord, Charles Lewis can be contacted via phone (803) 434-2020.

Contact Information

Primary practice address
9 Richland Medical Park Dr Suite 340 Columbia SC 29203-6859
Phone: (803) 434-2020
Fax: (803) 434-1581
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 7636 South Carolina

Profile Details

NPI number 1578551545
LBN Legal business name Walvoord, Charles Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Sep 29th, 2014 - about 12 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 1578551545 NPPES
South Carolina MEDICAID 076367

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