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NPI Code Detail

MEDICARE: WILLIAM J OCONNOR MD

MEDICARE: WILLIAM J OCONNOR MD
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
1207Q00000XFamily Medicine Physician21194SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174576409
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM J OCONNOR MD
Provider Business Mailing Address
First Line : PO BOX 547
Second Line :
City : LITTLE RIVER
State : SC
Zip : 29566
Country : US
Telephone Number : 843-663-8000
Fax Number :
Provider Business Practice Location Address
First Line : 7424 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572
Country : US
Telephone Number : 843-663-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 03/26/2015

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