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Individual

WILLIAM T. RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2010
(843) 724-2005
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82489
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82489
SC MEDICAL LICENSE
SC
Enumeration date
04/21/2014
Last updated
08/20/2019
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