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Individual

DR. VIRGINIA CAROLINE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8120 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1483
(843) 286-1349
Mailing address
8120 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1483
(843) 286-1349

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32630
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
570783896
TAX ID
SC
Enumeration date
07/07/2010
Last updated
07/29/2015
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