Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHANNING DALE WILLOUGHBY, MD
ActiveDR. CHANNING DALE WILLOUGHBY, MD is a Vascular Surgery healthcare provider located in MURRELLS INLET, South Carolina. NPI 1235336421 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MURRELLS INLET, SC
Registration Details
- NPI Number
- 1235336421
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2007 (19.136384333406 yrs)
- Last Updated
- Mar 18, 2021
- License
-
33509 (SC)
Practice Information
- Address
-
4040 HIGHWAY 17SUITE206MURRELLS INLET, SC, 295765098Browse SC providers · Browse ZIP 29576
- Phone
- 8436528260
- Fax
- 8436528269
- Primary Specialty
-
Vascular Surgery
208VP0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.