Individual
DR. WILLIAM L BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 MEDICAL PARK RD, SUITE 104B, COLUMBIA, SC 29203-8003
(803) 434-4300
(803) 255-4277
Mailing address
15 MEDICAL PARK RD, SUITE 103, COLUMBIA, SC 29203-8003
(803) 255-3417
(803) 255-3451
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4539
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045392
—
SC
Enumeration date
03/31/2006
Last updated
06/23/2008
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