Healthcare Provider Details

I. General information

NPI: 1851388680
Provider Name (Legal Business Name): WILLIAM H HARMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 04/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 N LAKE DR
LEXINGTON SC
29072-7653
US

IV. Provider business mailing address

PO BOX 743904
ATLANTA GA
30374-3904
US

V. Phone/Fax

Practice location:
  • Phone: 803-358-1191
  • Fax: 803-358-1180
Mailing address:
  • Phone: 803-296-7320
  • Fax: 803-296-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21168
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: