Individual
DR. MARIANNE WILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7035 ST. ANDREWS ROAD, COLUMBIA, SC 29210
(803) 358-6160
(803) 407-4101
Mailing address
7035 ST. ANDREWS ROAD, COLUMBIA, SC 29210
(803) 358-6160
(803) 407-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
628
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006282
—
SC
Enumeration date
08/12/2006
Last updated
06/03/2009
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