Individual
WILLIAM PRENTIS WATERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3561 DREHER SHOALS RD, IRMO, SC 29063-9115
(803) 234-4138
Mailing address
1702 BEAVER DAM RD, COLUMBIA, SC 29212-1549
(864) 590-8769
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10046
SC
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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