Organization
UNIVERSITY SPECIALTY CLINIC
Active
Other names
Dept Family & Preventive Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. ANDERSON III MD (CMO)
(803) 434-6116
Entity
Organization
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6116
(803) 434-8374
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6843
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2223
—
SC
Enumeration date
07/07/2006
Last updated
01/23/2015
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