Individual
WILLIAM WALTON ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1809 WADE HAMPTON BLVD STE 120, GREENVILLE, SC 29609-4050
(864) 522-5000
(864) 241-9275
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-2286
(864) 455-7848
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39525
SC
207R00000X
Internal Medicine Physician
LL39525
SC
208000000X
Pediatrics Physician
39525
SC
208000000X
Pediatrics Physician
LL39525
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399254
—
SC
Enumeration date
08/20/2012
Last updated
03/04/2024
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