Provider Demographics
NPI:1467426650
Name:MCLAIN, WILLIAM CAMPBELL III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CAMPBELL
Last Name:MCLAIN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GERVAIS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3047
Mailing Address - Country:US
Mailing Address - Phone:803-788-4762
Mailing Address - Fax:
Practice Address - Street 1:700 GERVAIS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3047
Practice Address - Country:US
Practice Address - Phone:803-788-4762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9060207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD05576Medicare UPIN
SCD055766986Medicare PIN