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Individual

WILLIAM PAUL DIDELOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 DOUG WHITE DR STE 150, MYRTLE BEACH, SC 29572-4120
(843) 839-4429
(843) 839-4430
Mailing address
920 DOUG WHITE DR STE 150, MYRTLE BEACH, SC 29572-4180
(843) 839-4429
(843) 839-4430

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01042953A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
51860
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200198490
IN
05
2662015
OH
Enumeration date
12/13/2005
Last updated
11/05/2025
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