Organization
UNIVERSITY SPECIALTY CLINICS - UNIVERSITY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D. ANDERSON III MD (CMO)
(803) 255-3400
Entity
Organization
Contact information
Practice address
TWO MEDICAL PARK, SUITE 203, COLUMBIA, SC 29203-6839
(803) 212-7130
(803) 212-7160
Mailing address
15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6843
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1252
—
SC
Enumeration date
07/07/2006
Last updated
12/03/2014
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