Organization
GREENVILLE RADIOLOGY P A
Active
Organization
GREENVILLE RADIOLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DAVID WILLIAMS M D (PRESIDENT)
(864) 295-4410
Entity
Organization
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 269-1386
Mailing address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 295-4410
(864) 269-1386
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA0016
—
SC
Enumeration date
01/25/2006
Last updated
03/04/2008
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