Willie B Louis Md Pa

LBN: Willie B Louis Md Pa
Willie B Louis Md Pa is an health care organization with primary practice located at 1102 Summers Ave , Orangeburg SC 29115-4922. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Willie B Louis Md Pa can be contacted via phone (803) 534-2270, or through Louis, Willie B. via phone (803) 534-2270.

Contact Information

Primary practice address
1102 Summers Ave Orangeburg SC 29115-4922
Phone: (803) 534-2270
Fax: (803) 534-2271
Website:
Map and Directions
Authorized official contact:
Name: Louis, Willie B.
Phone: (803) 534-2270

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7519 South Carolina

Profile Details

NPI number 1154534972
LBN Legal business name Willie B Louis Md Pa
DBA Doing business as
Authorized official Louis, Willie B.
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Jan 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154534972 NPPES
South Carolina MEDICAID GP4128

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