Provider Demographics
NPI:1750951406
Name:PEARCEY, WILLMAN STEVE JR (DPM)
Entity type:Individual
Prefix:DR
First Name:WILLMAN
Middle Name:STEVE
Last Name:PEARCEY
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1190 HIGHWAY 9 BYP W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-1709
Mailing Address - Country:US
Mailing Address - Phone:720-233-1727
Mailing Address - Fax:
Practice Address - Street 1:1190 HIGHWAY 9 BYP W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720
Practice Address - Country:US
Practice Address - Phone:803-285-1411
Practice Address - Fax:803-283-9920
Is Sole Proprietor?:No
Enumeration Date:2021-06-25
Last Update Date:2024-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC850213ES0103X
SC771213ES0103X
PASC007170213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery