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Organization
DEPARTMENT OF INTERNAL MEDICINE
Active
Organization
DEPARTMENT OF INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. ANDERSON III MD (CMO)
(803) 540-1000
Entity
Organization
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 502, COLUMBIA, SC 29203-6808
(803) 540-1000
(803) 540-1075
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6843
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0227
—
SC
Enumeration date
06/29/2006
Last updated
12/03/2014
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