Gammon, William R.

Gammon, William R. is an individual health care provider with primary practice located at 101 Mcleod Health Blvd Ste 201 , Myrtle Beach SC 29579-4477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gammon, William R. can be contacted via phone (843) 646-8001.

Contact Information

Primary practice address
101 Mcleod Health Blvd Ste 201 Myrtle Beach SC 29579-4477
Phone: (843) 646-8001
Fax: (843) 646-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20322 South Carolina

Profile Details

NPI number 1164419941
LBN Legal business name Gammon, William R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Feb 15th, 2021 - about 3 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 1164419941 NPPES
South Carolina MEDICAID T43101

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