Provider Demographics
NPI:1720085087
Name:DARBY, WILLIAM F JR (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:DARBY
Suffix:JR
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:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29648-0369
Mailing Address - Country:US
Mailing Address - Phone:864-227-2020
Mailing Address - Fax:864-227-2823
Practice Address - Street 1:665 WEST ALEXANDER ROAD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646
Practice Address - Country:US
Practice Address - Phone:864-227-2020
Practice Address - Fax:864-227-2823
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC16773207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC167731Medicaid
SCCE6166OtherRAILROAD MEDICARE GROUP
SC180028320OtherRAILROAD MEDICARE
SCPA0515Medicaid
SC0312620001Medicare NSC
SCG489851558Medicare PIN
SCCE6166OtherRAILROAD MEDICARE GROUP
SC180028320OtherRAILROAD MEDICARE