Individual
ERIC M. WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
415 MARKET ST, CHERAW, SC 29520-2636
(843) 213-6170
(843) 450-0782
Mailing address
206 MCIVER ST, CHERAW, SC 29520-1737
(843) 202-9865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2004000163
MO
363L00000X
Nurse Practitioner
22477
SC
363LF0000X
Family Nurse Practitioner
Primary
22477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598802738
—
MO
05
—
NP5786
—
SC
Enumeration date
01/30/2007
Last updated
07/15/2025
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