Individual
DR. WILLIAM R. GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MCLEOD HEALTH BLVD STE 201, MYRTLE BEACH, SC 29579-4477
(843) 646-8001
(843) 646-8002
Mailing address
101 MCLEOD HEALTH BLVD STE 201, MYRTLE BEACH, SC 29579-4477
(843) 646-8001
(843) 646-8002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T43101
—
SC
Enumeration date
10/05/2005
Last updated
02/15/2021
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