Individual
DR. WILLIAM FOSTER GAILLARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2575 ELMS CENTER RD STE 200, NORTH CHARLESTON, SC 29406-9875
(843) 724-1950
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
87215
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872158
—
SC
Enumeration date
06/07/2013
Last updated
02/17/2024
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