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NPI Code Detail

MEDICARE: WESLEY THOMAS SORRILL M.D.

MEDICARE:   WESLEY THOMAS SORRILL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician51217SC
2208M00000XHospitalist Physician51217SC

General Provider Information

NPI Number : 1013442219
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY THOMAS SORRILL M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8614
Fax Number :
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line : 5TH FLOOR SUPPORT TOWER
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-7882
Fax Number : 864-455-5008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2017
Last Update Date : 04/14/2026

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Directions to “ WESLEY THOMAS SORRILL M.D.” Practice Location

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