Willard, William Grant
Willard, William Grant is an individual health care provider with primary practice located at 1749 Marshall St , Columbia SC 29203-6952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Willard, William Grant can be contacted via phone (803) 252-1816.Contact Information
Primary practice address
1749 Marshall St
Columbia SC 29203-6952
Phone: (803) 252-1816
Fax: (803) 252-9132
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 20488 | South Carolina |
Profile Details
| NPI number | 1639158025 |
|---|---|
| LBN Legal business name | Willard, William Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Mar 8th, 2010 - about 16 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 | 1639158025 | NPPES |
| South Carolina | MEDICAID | 204889 |
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