Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 13243 | SC |
NPI | 1003885880 |
---|---|
Provider Name | William D. Hyman |
First Address | Greenville, SC 29601-2842 |
Second Address | Columbia, SC 29203-8000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 10/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
132431 | (05) | SC |
D29829 | (02) |