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Individual

WILLIAM F. PROCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2988
(843) 805-6277
Mailing address
PO BOX 2363, INDIANAPOLIS, IN 46206-2363
(843) 724-2988
(843) 805-6277

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28513
SC
2085R0202X
Diagnostic Radiology Physician
94-01305
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89135R8
NC
05
N01305
SC
01
P00773321
RAILROAD MEDICARE
SC
Enumeration date
07/20/2005
Last updated
02/14/2014
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