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Individual

WILLIAM H WHITLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1724 VILLAGE PARK DR, ORANGEBURG, SC 29118-2426
(803) 531-6004
(803) 531-0103
Mailing address
1724 VILLAGE PARK DR, ORANGEBURG, SC 29118-2426
(803) 531-6004
(803) 531-0103

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0371
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T00816
SC
Enumeration date
07/18/2006
Last updated
07/08/2007
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