Individual
WILLIAM COLLINS VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4739 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29577-6682
(843) 293-4904
(843) 293-2461
Mailing address
4739 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29577-6682
(843) 293-4904
(843) 293-2461
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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