Organization
POWDERSVILLE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORACE E WALPOLE JR. MD (PRESIDENT)
(864) 220-0103
Entity
Organization
Contact information
Practice address
100 POWERS BLVD., PIEDMONT, SC 29673-2158
(864) 220-0103
(864) 220-9925
Mailing address
PO BOX 51158, PIEDMONT, SC 29673-2158
(864) 220-0103
(864) 220-9925
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201124
—
SC
Enumeration date
02/24/2006
Last updated
03/13/2013
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