Williams, Joseph Russell

Williams, Joseph Russell is an individual health care provider with primary practice located at 120 East Medical Lane , West Columbia SC 29169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Williams, Joseph Russell can be contacted via phone (803) 936-7210.

Contact Information

Primary practice address
120 East Medical Lane West Columbia SC 29169
Phone: (803) 936-7210
Fax: (803) 936-8854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17961 South Carolina

Profile Details

NPI number 1225038656
LBN Legal business name Williams, Joseph Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 11th, 2020 - about 5 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 1225038656 NPPES
South Carolina MEDICAID GP3239

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