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NPI 1043245590

NPI 1043245590 : DRS WILLIAMSON & GILLESPIE PA : ORANGEBURG, SC

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General NPI Number Information
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    NPI Number           |    1043245590
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS WILLIAMSON & GILLESPIE PA 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    1175 COOK ROAD SUITE 145
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    City                 |    ORANGEBURG
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    State                |    SC
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    Zip                  |    29118
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    Country              |    US
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    Telephone            |    803-531-2300
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    Fax                  |    803-531-0133
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Provider Business Mailing Address
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    Address Line         |    1175 COOK ROAD SUITE 145
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    City                 |    ORANGEBURG
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    State                |    SC
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    Zip                  |    29118
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    Country              |    US
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    Telephone            |    803-531-2300
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    Fax                  |    803-531-0133
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. J RICHARD WILLIAMSON 
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    Credential           |    MD
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    Telephone            |    803-531-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    
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    License Number State |    
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