Organization
EASLEY M R I L L C
Active
Organization
EASLEY M R I L L C
Active
Other names
Easley MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID WILLIAMS III M D (PRESIDENT)
(864) 295-4410
Entity
Organization
Contact information
Practice address
200 FLEETWOOD DR, SUITE 100, EASLEY, SC 29640-2022
(864) 552-7470
(864) 552-7471
Mailing address
PO BOX 3088, GREENVILLE, SC 29602-3088
(864) 552-7470
(864) 552-7471
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ7945
RAILROAD MEDICARE
SC
05
—
SL0051
—
SC
Enumeration date
01/26/2006
Last updated
05/09/2008
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