Individual
DR. THOMAS BRIAN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 E MEDICAL LN STE 101, WEST COLUMBIA, SC 29169-4850
(803) 739-3660
(803) 739-3663
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26798
SC
Other
Enumeration date
07/07/2006
Last updated
11/11/2020
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