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1720751613
WILLIAM PRENTIS WATERS
IRMO, SC
NPI
1720751613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: SC 10046)
Enumeration Date
2021-07-27
Last Update Date
2021-07-27
Business Address
WILLIAM PRENTIS WATERS DPT
3561 DREHER SHOALS RD
IRMO, SC 29063-9115
Phone number: 803-234-4138
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Mailing Address
WILLIAM PRENTIS WATERS DPT
1702 BEAVER DAM RD
COLUMBIA, SC 29212-1549
Phone number: 864-590-8769
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