Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 10594 | SC |
NPI | 1063094845 |
---|---|
Provider Name | William Lewis Patterson |
First Address | Clemson, SC 29631 |
Second Address | Clemson, SC 29631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2021 |
Last Update Date | 22/04/2021 |