Individual
DR. JILL SERDONCILLO WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 RICE MEADOW WAY, COLUMBIA, SC 29229
(803) 419-6334
(803) 788-6574
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32369
SC
207Q00000X
Family Medicine Physician
LL32369
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323698
—
SC
Enumeration date
04/27/2010
Last updated
05/30/2018
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