Individual
DR. WILLIAM WALTER BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169-4815
(803) 744-4940
(803) 744-4938
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TL31137
SC
207RC0000X
Cardiovascular Disease Physician
31137
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
31137
SC
Other
Enumeration date
07/03/2007
Last updated
10/14/2020
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