Provider Demographics
NPI:1528061397
Name:MAGUIRE, WILLIAM FRANCIS JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:MAGUIRE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:615 WESLEY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7204
Practice Address - Country:US
Practice Address - Phone:843-266-4400
Practice Address - Fax:843-577-0455
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2025-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC14188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC141885Medicaid
SCP00727210OtherRAILROAD MEDICARE ID-RSFPN
SCP00310767OtherRR MEDICARE
SCE272119223Medicare PIN
SC1235180571Medicare PIN
SCP00310767OtherRR MEDICARE
SC1497874424Medicare PIN
SCE27211Medicare UPIN
SCE272114943Medicare PIN