Individual
DR. THEOPHILUS D WILLIAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
641 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-6944
(803) 469-3944
Mailing address
641 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 905-6944
(803) 469-3944
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8318
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083180
—
SC
01
—
C30400
RAILROAD MEDICARE
SC
05
—
GP5689
—
SC
Enumeration date
02/09/2006
Last updated
07/25/2016
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