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Individual

DR. WILLIAM PERRY EDENFIELD JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2720 SUNSET BLVD, RADIOLOGY DEPARTMENT, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
(803) 791-2660
Mailing address
10335 N PORT WASHINGTON RD, SUITE 250, MEQUON, WI 53092-5763
(262) 240-9870
(262) 240-9869

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20-18692
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
186925
SC
Enumeration date
07/04/2006
Last updated
11/01/2007
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