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WILLIAM ERIC STANLEY PA-C
Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1871683268
Individual Registrant: WILLIAM ERIC STANLEY PA-C
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
3410 COKESBURY RD HODGES, SC 29653-9181 US
Tel: 864-227-2099 Fax: 864-227-1779
Tel: 864-227-2099 Fax: 864-227-1779
Contact information for business:
3410 COKESBURY RD HODGES, SC 29653-9181 US
Tel: 864-227-2099 Fax: 864-227-1779
Tel: 864-227-2099 Fax: 864-227-1779
Registration Information:
NPI: 1871683268
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical | SC | 1860 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 1824PA | SC | 05 |
