Healthcare Provider Details

I. General information

NPI: 1508170077
Provider Name (Legal Business Name): WILLIAM A CHINERY MD,MRCPCH,FAAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 W MEETING ST SUITE E
LANCASTER SC
29720-6233
US

IV. Provider business mailing address

838 W MEETING ST SUITE E
LANCASTER SC
29720-6233
US

V. Phone/Fax

Practice location:
  • Phone: 803-285-2244
  • Fax: 803-285-2299
Mailing address:
  • Phone: 803-285-2244
  • Fax: 803-285-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33133
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: