Individual
STEPHEN W ORVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
(803) 939-4579
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
(803) 939-4579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
97-00692
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10829
BCBSNC
NC
05
—
164299
—
SC
05
—
89-10829
—
NC
01
—
930116788
RR MEDICARE
NC
Enumeration date
06/01/2006
Last updated
12/21/2015
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