Individual
DR. WILLIAM M SCOTT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
206 WALL ST, PIEDMONT, SC 29673-6754
(864) 269-7950
(864) 269-7948
Mailing address
206 WALL ST, PIEDMONT, SC 29673-6754
(864) 269-7950
(864) 269-7948
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
8878
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088782
—
SC
01
—
42D1047821
CLIA NUMBER
SC
01
—
830438563
FEDERAL ID NUMBER
SC
05
—
GP4309
—
SC
Enumeration date
09/22/2005
Last updated
06/04/2020
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