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Individual

MR. WILLIAM H GAW JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
9 RICHLAND MEDICAL PARK DR, SUITE 500, COLUMBIA, SC 29203-6859
(803) 434-4555
(803) 434-4599
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
P414
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8302499
PHP PROVIDER
05
NP0028
SC
Enumeration date
01/23/2006
Last updated
03/27/2018
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