Healthcare Provider Details

I. General information

NPI: 1083830079
Provider Name (Legal Business Name): PATRICIA FERN WILLIAMS R MR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 DONAGHEY AVE STE 109
CONWAY AR
72032-2327
US

IV. Provider business mailing address

4650 UTAH TRL
CONWAY AR
72034-3380
US

V. Phone/Fax

Practice location:
  • Phone: 501-764-1201
  • Fax: 501-764-1204
Mailing address:
  • Phone: 501-690-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License NumberRT4627
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code2471M1202X
TaxonomyMagnetic Resonance Imaging Radiologic Technologist
License Number342664
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: