Williams, Theophilus D
Williams, Theophilus D is an individual health care provider with primary practice located at 641 W Wesmark Blvd , Sumter SC 29150-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Williams, Theophilus D can be contacted via phone (803) 905-6944.Contact Information
Primary practice address
641 W Wesmark Blvd
Sumter SC 29150-1900
Phone: (803) 905-6944
Fax: (803) 469-3944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 8318 | South Carolina |
Profile Details
| NPI number | 1104899111 |
|---|---|
| LBN Legal business name | Williams, Theophilus D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Jul 25th, 2016 - about 9 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 | 1104899111 | NPPES |
| South Carolina | MEDICAID | 083180 | |
| South Carolina | Other | C30400 | |
| South Carolina | MEDICAID | GP5689 |
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