Individual
WILLIAM RANDAL WESTERKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 E MEDICAL LN STE 100&200, WEST COLUMBIA, SC 29169-4847
(803) 935-8410
(803) 936-7816
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19261
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192614
—
SC
Enumeration date
05/19/2006
Last updated
11/11/2020
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