Phillips, J William

Phillips, J William is an individual health care provider with primary practice located at 1655 Bernardin Ave Ste 220 , Columbia SC 29204-2044. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Phillips, J William can be contacted via phone (803) 409-7170.

Contact Information

Primary practice address
1655 Bernardin Ave Ste 220 Columbia SC 29204-2044
Phone: (803) 409-7170
Fax: (803) 409-7175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23595 South Carolina
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 23595 South Carolina

Profile Details

NPI number 1114926797
LBN Legal business name Phillips, J William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 21st, 2022 - about 2 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 1114926797 NPPES
South Carolina Other 23595 SC LICENSE
South Carolina MEDICAID 235953 SC LICENSE

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