Individual
DR. TODD E WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4708 OLEANDER DR, MYRTLE BEACH, SC 29577-5742
(843) 449-9415
(843) 449-2160
Mailing address
2234 COLONIAL BLVD, MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
14002
SC
2085R0001X
Radiation Oncology Physician
200400438
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063W8
BCBS
NC
05
—
140009
—
SC
01
—
32936
MEDCOST
—
01
—
503356
BCBS
PA
05
—
89063W8
—
NC
01
—
9620580
GHI
—
Enumeration date
07/29/2005
Last updated
05/05/2010
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