MEDICARE: MS. JANICE DENISE WILLIAMS M.D. FACOG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	0101233021	VA
2	207Q00000X	Family Medicine Physician	0101233021	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407826225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE DENISE WILLIAMS M.D. FACOG

Provider Business Mailing Address
First Line	:	PO BOX 1239
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48099-1239
Country	:	US
Telephone Number	:	248-824-6600
Fax Number	:	248-324-1477

Provider Business Practice Location Address
First Line	:	7447 CENTRAL BUSINESS PARK DR
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23513-2831
Country	:	US
Telephone Number	:	757-853-1380
Fax Number	:	855-252-4450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	05/20/2013

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