Provider Demographics
NPI:1700241379
Name:QUICK, WILLIAM WILSON (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:WILSON
Last Name:QUICK
Suffix:
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 1:5402 OVERLAND TRL
Mailing Address - Street 2:RETIRED FROM MEDICAL PRACTICE
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-9024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5402 OVERLAND TRL
Practice Address - Street 2:RETIRED FROM MEDICAL PRACTICE
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-9024
Practice Address - Country:US
Practice Address - Phone:843-878-8798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-23
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR4G71207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism