Individual
DAVID P. WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,PA
Contact information
Practice address
5-B EAST OWENS LANE, MAULDIN, SC 29662-2635
(864) 288-4765
Mailing address
PO BOX 1004, MAULDIN, SC 29662-1004
(864) 288-4765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11946
SC
Other
Enumeration date
01/09/2007
Last updated
04/16/2008
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