Wimberly, Clarence William
Wimberly, Clarence William is an sole proprietor health care provider with primary practice located at 435 N Cedar St , Summerville SC 29483-6407. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wimberly, Clarence William can be contacted via phone (843) 873-1592.Contact Information
Primary practice address
435 N Cedar St
Summerville SC 29483-6407
Phone: (843) 873-1592
Fax: (843) 871-2936
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5740 | South Carolina |
Profile Details
| NPI number | 1932190139 |
|---|---|
| LBN Legal business name | Wimberly, Clarence William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Apr 17th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932190139 | NPPES |
| South Carolina | Other | P01396493 | RR MEDICARE |
| South Carolina | MEDICAID | 057404 | RR MEDICARE |
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