Healthcare Provider Details

I. General information

NPI: 1396718979
Provider Name (Legal Business Name): WILLIAM REECE MCWILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 RICHLAND MEDICAL PARK DR SUITE 500
COLUMBIA SC
29203-6849
US

IV. Provider business mailing address

3 RICHLAND MEDICAL PARK DR SUITE 500
COLUMBIA SC
29203-6849
US

V. Phone/Fax

Practice location:
  • Phone: 803-779-7316
  • Fax: 803-343-2538
Mailing address:
  • Phone: 803-779-7316
  • Fax: 803-343-2538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number7065
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: