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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114926797 | NPPES |
| South Carolina | Other | 23595 | SC LICENSE |
| South Carolina | MEDICAID | 235953 | SC LICENSE |
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