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Individual

DR. WILLIAM LEROY BALY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1750 VILLAGE PARK DR, ORANGEBURG, SC 29118-2457
(803) 395-4160
(803) 531-8810
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
(803) 395-2237

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19587
SC

Other

Enumeration date
08/06/2006
Last updated
12/30/2016
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