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WILLIAM D GLENN IV MD
NPI 1366766222
Family Medicine in Bamberg, SC

Active since March 22, 2010
498 NORTH ST, BAMBERG, SC 29003(803) 245-5144 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William D Glenn Iv Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM D GLENN IV MD (NPI 1366766222) is a healthcare organization registered as a family medicine in Bamberg, South Carolina and active in the NPI registry since March 2010. The organization lists Lisa M Goodlett, C.o.o., as its authorized official.

NPPES Registry Identity

NPI1366766222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDISTO REGIONAL HEALTH SERVICES INC.
Location Address498 NORTH STBamberg, SC 29003-1377
Mailing AddressPo Box 1245Orangeburg, SC 29116-1245 · (803) 395-4497
Phone(803) 245-5144
Organization SubpartNo
Authorized OfficialLisa M GoodlettC.o.o. · (803) 395-2462
Enumeration DateMarch 22, 2010
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1366766222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SC · 19072
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
498 NORTH ST, Bamberg, SC 29003
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Other Names 1

Doing Business AsWilliam D Glenn Iv Md

Other Identifiers 1

Medicare PIN5677SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DAVID BROWN PA-C
Physician Assistant (Medical)
498 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 395-3600
DR. KELENNE V TUITT D.O.
Family Medicine
498 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 395-4497
MS. ANGELA HAMPTON PA-C
Physician Assistant
498 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 395-3600
MICHAEL WATSON RURAL HEALTH CLINIC
Clinic/Center (Rural Health)
498 NORTH ST
BAMBERG, SC 29003
Bamberg County (803) 245-5144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edisto Regional Health Services Inc.'s NPI number?

The NPI number for Edisto Regional Health Services Inc. is 1366766222. It was assigned to this organization in the NPPES registry on March 22, 2010. The provider is doing business as William D Glenn IV MD.

Where is Edisto Regional Health Services Inc. located?

Edisto Regional Health Services Inc. is located at 498 North St, Bamberg, SC 29003. The listed phone number is (803) 245-5144.

What is Edisto Regional Health Services Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edisto Regional Health Services Inc. was last updated on January 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.