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NPI Code Detail

MEDICARE: ROGER CHARLES WILLIAMS MSW

MEDICARE:   ROGER CHARLES WILLIAMS  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker4487SC
2171R00000XInterpreter

General Provider Information

NPI Number : 1255483244
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER CHARLES WILLIAMS MSW
Provider Business Mailing Address
First Line : 250 DEWEY AVE
Second Line :
City : SPARTANBURG
State : SC
Zip : 29303-3009
Country : US
Telephone Number : 864-585-0366
Fax Number :
Provider Business Practice Location Address
First Line : 2414 BULL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-1906
Country : US
Telephone Number : 803-898-8301
Fax Number : 803-898-8347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 06/24/2020

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Directions to “ ROGER CHARLES WILLIAMS MSW” Practice Location

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