Organization
REHAB AND GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DANIEL WESTERKAM MD (MANAGING PARTNER)
(803) 401-1404
Entity
Organization
Contact information
Practice address
2935 COLONIAL DR, COLUMBIA, SC 29203-6811
(803) 401-1372
(803) 401-1178
Mailing address
PO BOX 11671, COLUMBIA, SC 29211-1671
(803) 401-1372
(803) 401-1178
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1818
—
SC
Enumeration date
10/23/2006
Last updated
10/18/2007
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