Individual
DR. BRIAN CHRISTOPHER WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(936) 814-6803
(803) 936-8916
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-8146
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101259595
VA
Other
Enumeration date
05/07/2012
Last updated
04/28/2021
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