Walvoord, Charles Lewis
Walvoord, Charles Lewis is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Suite 340, Columbia SC 29203-6859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Walvoord, Charles Lewis can be contacted via phone (803) 434-2020.Contact Information
Primary practice address
9 Richland Medical Park Dr Suite 340
Columbia SC 29203-6859
Phone: (803) 434-2020
Fax: (803) 434-1581
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 7636 | South Carolina |
Profile Details
NPI number | 1578551545 |
---|---|
LBN Legal business name | Walvoord, Charles Lewis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 12th, 2005 |
Last updated | Sep 29th, 2014 - about 10 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 | 1578551545 | NPPES |
South Carolina | MEDICAID | 076367 |
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