Individual
MR. BRUCE KERWIN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Mailing address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 256-5300
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0752
—
SC
Enumeration date
10/23/2006
Last updated
04/16/2020
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