MEDICARE: MR. ROBERT PRESLEY WILLIAMS JR. ARNP

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	363LA2200X	Adult Health Nurse Practitioner	5023251	NC
2	363L00000X	Nurse Practitioner	5023251	NC

General Provider Information

NPI Number	:	1538610001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT PRESLEY WILLIAMS JR. ARNP

Provider Business Mailing Address
First Line	:	PO BOX 100181
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29202-3141
Country	:	US
Telephone Number	:	828-202-5200
Fax Number	:	828-479-2917

Provider Business Practice Location Address
First Line	:	550 POPE AVE NW STE 300
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4679
Country	:	US
Telephone Number	:	863-299-2636
Fax Number	:

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

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	06/23/2026

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