Provider Demographics
NPI:1023042934
Name:WINGFIELD, WILLIAM JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:WINGFIELD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:321 WINGO WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2885
Mailing Address - Country:US
Mailing Address - Phone:843-388-2400
Mailing Address - Fax:843-388-2444
Practice Address - Street 1:234 SEVEN FARMS DRIVE
Practice Address - Street 2:SUITE 125
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492
Practice Address - Country:US
Practice Address - Phone:843-284-5300
Practice Address - Fax:843-284-5301
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2010-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCSC6129207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine