Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLARENCE WILLIAM WIMBERLY JR., MD
Deactivated Sole ProprietorCLARENCE WILLIAM WIMBERLY JR., MD is a Family Medicine healthcare provider located in SUMMERVILLE, South Carolina. NPI 1932190139 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · SUMMERVILLE, SC
This NPI has been deactivated.
The record was deactivated on March 29, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1932190139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2005 (13.397260273973 yrs)
- Last Updated
- Apr 17, 2019
- Deactivated
- Mar 29, 2019
- License
-
5740 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
435 N CEDAR STSUMMERVILLE, SC, 294836407Browse SC providers · Browse ZIP 29483
- Phone
- 8438731592
- Fax
- 8438712936
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SUMMERVILLE, SC
| Name | Credential | NPI |
|---|---|---|
| SILVESTRO J LIJOI | D.O. | 1780679118 |
| CLAUDIUS STUART DAWSON III | M.D. | 1780675306 |
| BONNIE L. CRICKMAN | MD | 1740261726 |
| OTIS EDWARD ENGELMAN | MD | 1730145509 |
| SKYE NICOLE DEBERRY | MD | 1710943584 |
| BARRY STEPHEN KATZ | MD | 1942266507 |
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.