Search › South Carolina › 103G00000X
Jonathan Wills
NPI 1346197449 · on the registry since 2026 · sole proprietor
Practice
- Address
- 16 Red Cedar Dr
Columbia, SC 29229 - Phone
- (803) 529-7144
Registry record
- Primary taxonomy
- 103G00000X
103G00000X
- Also registered as
- 103TB0200X
103TC2200X
103TM1800X
103T00000X
103TP0814X
101YM0800X
101YP2500X
102L00000X
103K00000X - Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina