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Individual

DR. BART DAVID WILLIAMS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, DMD

Contact information

Practice address
39 BRENDAN WAY, GREENVILLE, SC 29615-3514
(864) 458-9800
(864) 458-9860
Mailing address
39 BRENDAN WAY, GREENVILLE, SC 29615-3514
(864) 458-9800
(864) 458-9860

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3585
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3585
SC
Enumeration date
07/18/2005
Last updated
07/26/2010
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