Individual
DR. LEWIS TRAYWICK TILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
165 FARMSTEAD LN, ORANGEBURG, SC 29115-9731
(803) 707-4164
Mailing address
165 FARMSTEAD LN, ORANGEBURG, SC 29115-9731
(803) 707-4164
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10331
SC
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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