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Organization

DAVID P WILLETT M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID P WILLETT MD (OWNER)
(864) 288-4765
Entity
Organization

Contact information

Practice address
5-B EAST OWENS LANE, MAULDIN, SC 29662-2635
(864) 288-4765
Mailing address
PO BOX 1004, MAULDIN, SC 29662-1004
(864) 288-4765

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/10/2007
Last updated
04/16/2008
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