Individual
WILLIAM SEAN IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
112 JOHN ST, SUITE 201, EASLEY, SC 29640-1472
(864) 850-2663
(864) 306-0012
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 850-2663
(864) 855-9577
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
153
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0335PA
—
SC
Enumeration date
08/10/2006
Last updated
01/28/2013
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