Individual
WILLIAM ESDORN OQUINN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1510 RIBAUT RD, PORT ROYAL, SC 29935-1403
(843) 770-0676
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101232502
VA
207Q00000X
Family Medicine Physician
Primary
31284
SC
207Q00000X
Family Medicine Physician
TL31284
SC
Other
Enumeration date
08/18/2006
Last updated
10/31/2024
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