Individual
DR. WILLIAM FRANKLIN LYTLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 STUART ST, MACH ATTN: MCXL-PQ (CREDENTIALS), COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART ST, MACH ATTN: MCXL-PQ (CREDENTIALS), COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME12368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD
000
SC
Enumeration date
10/19/2006
Last updated
07/08/2007
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