Healthcare Provider Details

I. General information

NPI: 1720085087
Provider Name (Legal Business Name): WILLIAM F. DARBY JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 01/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

665 WEST ALEXANDER ROAD
GREENWOOD SC
29646
US

IV. Provider business mailing address

PO BOX 369
GREENWOOD SC
29648-0369
US

V. Phone/Fax

Practice location:
  • Phone: 864-227-2020
  • Fax: 864-227-2823
Mailing address:
  • Phone: 864-227-2020
  • Fax: 864-227-2823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number16773
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: