Brannon, William L

Brannon, William L is an individual health care provider with primary practice located at 15 Medical Park Rd Suite 104B, Columbia SC 29203-8003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brannon, William L can be contacted via phone (803) 434-4300.

Contact Information

Primary practice address
15 Medical Park Rd Suite 104B Columbia SC 29203-8003
Fax: (803) 255-4277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4539 South Carolina

Profile Details

NPI number 1053372805
LBN Legal business name Brannon, William L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jun 23rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053372805 NPPES
South Carolina MEDICAID 045392

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