Healthcare Provider Details

I. General information

NPI: 1568856441
Provider Name (Legal Business Name): GREGORY SCOTT BILLS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2015
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 SUMMERPLACE DR
WEST COLUMBIA SC
29169-3058
US

IV. Provider business mailing address

131 SUMMERPLACE DR
WEST COLUMBIA SC
29169-3058
US

V. Phone/Fax

Practice location:
  • Phone: 803-794-4585
  • Fax: 803-796-8924
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number90475
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: