Basic Information
Provider Information
NPI: 1538423546
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBERGOTTI
FirstName: WILLIAM
MiddleName: GREER
NamePrefix: DR.
NameSuffix: III
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 135 RUTLEDGE AVE # MSC550
Address2:  
City: CHARLESTON
State: SC
PostalCode: 294258903
CountryCode: US
TelephoneNumber: 8437920719
FaxNumber:  
Practice Location
Address1: 171 ASHLEY AVE
Address2:  
City: CHARLESTON
State: SC
PostalCode: 294252536
CountryCode: US
TelephoneNumber: 8437921414
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/25/2012
LastUpdateDate: 03/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XMT201969PAN Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000X080879GAN Allopathic & Osteopathic PhysiciansOtolaryngology 
207YX0007X080879GAN Allopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
207YX0007X40788SCN Allopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
207Y00000X40788SCY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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