Provider Demographics
NPI:1487652681
Name:REFVEM, WILLIAM ERIC (MD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ERIC
Last Name:REFVEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1580 FREEDOM BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6074
Mailing Address - Country:US
Mailing Address - Phone:843-674-1453
Mailing Address - Fax:843-674-6810
Practice Address - Street 1:1580 FREEDOM BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6074
Practice Address - Country:US
Practice Address - Phone:843-674-1453
Practice Address - Fax:843-674-6810
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9600298207XX0005X
SC38895207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8970990Medicaid
NC8970990Medicaid
NCG23330Medicare UPIN
SC7153Medicare PIN