Organization
JAMES ISLAND FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D ANDERSON III (PRESIDENT)
(843) 762-4963
Entity
Organization
Contact information
Practice address
490 MARTELLO DR, CHARLESTON, SC 29412-2638
(843) 762-4963
(843) 762-3039
Mailing address
490 MARTELLO DR, CHARLESTON, SC 29412-2638
(843) 762-4963
(843) 762-3039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18074
SC
Other
Enumeration date
08/18/2006
Last updated
12/27/2007
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