Provider Demographics
NPI:1346598224
Name:MCCAMY, WILLIAM RUPERT SR
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:RUPERT
Last Name:MCCAMY
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 HIGHLAND POINT DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7408
Mailing Address - Country:US
Mailing Address - Phone:803-462-6141
Mailing Address - Fax:
Practice Address - Street 1:27 US HIGHWAY 321 BYP S
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-7191
Practice Address - Country:US
Practice Address - Phone:803-635-3012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist