Individual
DR. J WILLIAM PHILLIPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 BERNARDIN AVE STE 220, COLUMBIA, SC 29204-2044
(803) 409-7170
(803) 409-7175
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23595
SC
207RI0011X
Interventional Cardiology Physician
Primary
23595
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23595
SC LICENSE
SC
05
—
235953
—
SC
Enumeration date
07/18/2005
Last updated
07/21/2022
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