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Contact Information

SIMON M WILLIS, MD
114 CANAL ST STE 503
POOLER, GA31322-4261
 Phone: 912-450-6300
 Fax: 912-450-6303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for SIMON M WILLIS · (Male)

NPI Number 1356761191
Status Active
Credentials MD
Entity Individual
Enumeration date 04/20/2014
Last updated 04/16/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 84680
  • SC License # 83377
Hospital affiliation(s)
  • BEAUFORT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    955 RIBAUT RD
    BEAUFORT, SC 29902
  • COASTAL CAROLINA HOSPITAL - (Acute Care)
    1000 MEDICAL CENTER DRIVE
    HARDEEVILLE, SC 29927
  • HILTON HEAD REGIONAL MEDICAL CENTER - (Acute Care)
    25 HOSPITAL CENTER BLVD
    HILTON HEAD ISLAND, SC 29925
  • MEMORIAL HEALTH UNIV MED CEN INC - (Acute Care)
    4700 WATERS AVENUE
    SAVANNAH, GA 31403
  • MUSC MEDICAL CENTER - (Acute Care)
    169 ASHLEY AVE
    CHARLESTON, SC 29425
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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