Healthcare Provider Details

I. General information

NPI: 1720029747
Provider Name (Legal Business Name): WILLIAM C GILES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 CORLEY MILL RD
LEXINGTON SC
29072-7600
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4 STE 510
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 803-256-2483
  • Fax: 803-779-4624
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number14112
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number14112
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: