| Charles David Williams Iii, MD | |
|
1210 W Faris Rd, Greenville, SC 29605-4444 | |
| (864) 295-4410 | |
| (864) 269-1386 |
| Full Name | Charles David Williams Iii |
|---|---|
| Gender | Male |
| Speciality | Radiology - Nuclear Radiology |
| Location | 1210 W Faris Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457323016 | NPI | - | NPPES |
| 122771 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 12277 (South Carolina) | Secondary |
| 2085N0904X | Radiology - Nuclear Radiology | 12277 (South Carolina) | Primary |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles David Williams Iii, MD 1 Independence Pt Ste 212, Greenville, SC 29615-4536 Ph: (864) 797-6303 | Charles David Williams Iii, MD 1210 W Faris Rd, Greenville, SC 29605-4444 Ph: (864) 295-4410 |
Bonnie Louise Anderson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-295-4410 Fax: 864-295-5694 | |
Dr. Douglas Middleton Bull, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Dr. Mark R Jackson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr, Suite 330, Greenville, SC 29601 Phone: 864-255-1834 Fax: 864-255-1836 | |
Dr. Michael Franklin Brinkley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Matthew Timothy Graham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 203 Mills Ave, Greenville, SC 29605 Phone: 864-271-1844 | |
Dr. Michael David Zurenko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 International Dr, Greenville, SC 29615 Phone: 864-987-7000 Fax: 864-987-7020 | |
Leighton Chase Allen Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 |