Healthcare Provider Details

I. General information

NPI: 1306952445
Provider Name (Legal Business Name): WILLIAM H MARSH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

LOW COUNTRY GASTROENTEROLOGY ASSOC, PA 1300 HOSPITAL DRIVE, SUITE 300
MOUNT PLEASANT SC
29464-3217
US

IV. Provider business mailing address

DR. WILLIAM H. MARSH 1300 HOSPITAL DRIVE, SUITE 300
MOUNT PLEASANT SC
29464-3217
US

V. Phone/Fax

Practice location:
  • Phone: 843-884-5200
  • Fax: 843-884-6417
Mailing address:
  • Phone: 843-884-5200
  • Fax: 843-884-6417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number10018
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: