Individual
WILLIAM G VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(843) 467-2676
Mailing address
1303 AZALEA CT STE C, MYRTLE BEACH, SC 29577-5765
(843) 467-2676
(843) 497-9566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
055035
GA
2085R0202X
Diagnostic Radiology Physician
Primary
26692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
481557006
—
GA
Enumeration date
01/20/2006
Last updated
07/21/2022
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