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NPI Code Detail

MEDICARE: MS. CHARLOTTE A WILLIAMS CPNP

MEDICARE: MS. CHARLOTTE A WILLIAMS CPNP
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
1363LP0200XPediatric Nurse Practitioner0024166454VA

General Provider Information

NPI Number : 1457373698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHARLOTTE A WILLIAMS CPNP
Provider Business Mailing Address
First Line : ATHERHOLT ROAD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501
Country : US
Telephone Number : 434-200-3000
Fax Number :
Provider Business Practice Location Address
First Line : 130 ENTERPRISE DR
Second Line :
City : DANVILLE
State : VA
Zip : 24540-4070
Country : US
Telephone Number : 434-791-2273
Fax Number : 434-791-2824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/20/2020

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