Organization
WILLIE B LOUIS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIE B. LOUIS (M.D.)
(803) 534-2270
Entity
Organization
Contact information
Practice address
1102 SUMMERS AVE, ORANGEBURG, SC 29115-4922
(803) 534-2270
(803) 534-2271
Mailing address
1102 SUMMERS AVE, ORANGEBURG, SC 29115-4922
(803) 534-2270
(803) 534-2271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7519
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4128
—
SC
Enumeration date
05/08/2007
Last updated
01/18/2013
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