Individual
WILLIAM DEFAYETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3487 FALLOWBROOK FRST, YORK, SC 29745-8137
(269) 998-6335
Mailing address
3487 FALLOWBROOK FRST, YORK, SC 29745-8137
(269) 998-6335
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
8295
NC
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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