Individual
DR. RANDOLPH CHU VILLAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 GLENWOOD DR, ROCK HILL, SC 29732-1818
(880) 336-6717
(803) 366-0529
Mailing address
311 GLENWOOD DR, ROCK HILL, SC 29732-1818
(880) 336-6717
(803) 366-0529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240830
—
SC
Enumeration date
08/17/2005
Last updated
10/13/2023
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