Channing Dale Willoughby in Murrells Inlet - Pain Medicine

Channing Dale Willoughby - NPI 1235336421

Channing Dale Willoughby is a Pain Medicine in Murrells Inlet, South Carolina. Channing Dale Willoughby practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Channing Dale Willoughby is 1235336421. The last update date is 2021-03-18.

Channing Dale Willoughby's current location address is 4040 Highway 17, Murrells Inlet, South Carolina. You can contact this provider via phone number 8436528260 and fax number 8436528269. The mailing address for Channing Dale Willoughby is 4040 Highway 17, Murrells Inlet, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Channing Dale Willoughby
Address 4040 Highway 17, Murrells Inlet, South Carolina
Phone Number 8436528260
Fax Number 8436528269
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235336421
Provider Enumeration Date 2007-06-29
Last Updated Date 2021-03-18

Provider Mailing Address Detail

Address 4040 Highway 17
City Murrells Inlet
State South Carolina (SC)
Post Code 295765098
Phone Number 8436528260
Fax Number 8436528269

Provider's Primary Taxonomy Detail

Speciality Pain Medicine
Taxonomy 208Vp0000X
Licence No 33509
Definition:
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and t

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33509 SC STATE MEDICAL LICENSE

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FAQs about Channing Dale Willoughby

What is the Channing Dale Willoughby's 1235336421?

The Channing Dale Willoughby's NPI (National Provider Identifier) Number is 1235336421. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Channing Dale Willoughby is located?

The Channing Dale Willoughby is situated at the following address: 4040 Highway 17, Murrells Inlet, SC, 295765098.

What is Channing Dale Willoughby's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Channing Dale Willoughby is Pain Medicine, and the taxonomy code that classifies this field of practice is 208Vp0000X.

On what date did the Channing Dale Willoughby receive the assignment of its 1235336421 from the Centers for Medicare & Medicaid Services?

The Channing Dale Willoughby was issued its 1235336421 by the Centers for Medicare & Medicaid Services on 2007-06-29.

As of what date was the information pertaining to Channing Dale Willoughby, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Channing Dale Willoughby, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-18.

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