Individual
MR. WILLIAM WALTER HUMCKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1112 GOWER ST, FORT MILL, SC 29708-6920
(803) 396-1446
Mailing address
1112 GOWER ST, FORT MILL, SC 29708-6920
(803) 396-1446
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
313202
NC
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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