Mims, William Walton

Mims, William Walton is an individual health care provider with primary practice located at 1700 Skylyn Dr , Spartanburg SC 29307-1041. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mims, William Walton can be contacted via phone (864) 573-3777.

Contact Information

Primary practice address
1700 Skylyn Dr Spartanburg SC 29307-1041
Phone: (864) 573-3777
Fax: (864) 573-3261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 16145 South Carolina

Profile Details

NPI number 1528033198
LBN Legal business name Mims, William Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 17th, 2018 - about 6 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 1528033198 NPPES
North Carolina Other 9701066 STATE MEDICAL BOARD
North Carolina Other 16145 STATE MEDICAL BOARD
North Carolina MEDICAID Q50203 STATE MEDICAL BOARD

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