Individual
WILLIAM C GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, STE 510, COLUMBIA, SC 29203-6859
(803) 256-2483
(803) 799-4624
Mailing address
9 RICHLAND MEDICAL PARK DR, STE 510, COLUMBIA, SC 29203-6859
(803) 256-2483
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
14112
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141126
—
SC
01
—
620713
SELECT HEALTH
SC
01
—
PA1382
MEDICAID PTAN
SC
Enumeration date
06/09/2006
Last updated
11/04/2014
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