Willard, Oliver T

Willard, Oliver T is an individual health care provider with primary practice located at 105 Vinecrest Ct # 600 , Greenwood SC 29646-8031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Willard, Oliver T can be contacted via phone (864) 227-2900.

Contact Information

Primary practice address
105 Vinecrest Ct # 600 Greenwood SC 29646-8031
Fax: (864) 227-6487
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8416 South Carolina

Profile Details

NPI number 1518953546
LBN Legal business name Willard, Oliver T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 9th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518953546 NPPES
South Carolina MEDICAID 084161

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