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NPI Code Detail

MEDICARE: WILLIAM MITSOS M.D.

MEDICARE: WILLIAM MITSOS 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
1207V00000XObstetrics & Gynecology PhysicianMD052801LPA
2207V00000XObstetrics & Gynecology Physician88898SC

General Provider Information

NPI Number : 1578533774
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM MITSOS 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 : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 1120 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4656
Country : US
Telephone Number : 864-455-8897
Fax Number : 864-455-8555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 08/02/2024

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Directions to “ WILLIAM MITSOS M.D.” Practice Location

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