Individual
WILLIAM WOODBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, STE B-125, FLORENCE, SC 29505-6047
(843) 629-2605
Mailing address
805 PAMPLICO HWY, STE B-125, FLORENCE, SC 29505-6047
(843) 629-2605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13417
SC
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-100238
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134171
—
SC
Enumeration date
05/03/2006
Last updated
12/17/2024
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