# EXCELSIOR MEDICAL CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588618144
- **Authorized official:** DR. JOSEPH CECIL WILLIAMS MD (PRESIDENT)
- **Authorized official phone:** (803) 778-2429

## Contact information

- **Practice address:** 448 N MAIN ST, EXCELSIOR MEDICAL CLINIC, PA, SUMTER, SC 29150-4233
- **Practice address phone:** (803) 778-2429
- **Practice address fax:** (803) 773-6303
- **Mailing address:** 448 N MAIN ST, EXCELSIOR MEDICAL CLINIC, PA, SUMTER, SC 29150-4233
- **Mailing address phone:** (803) 778-2429
- **Mailing address fax:** (803) 773-6303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 9647 | SC | Yes |
| 208D00000X | General Practice Physician | 9646 | SC | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 10/09/2007