Healthcare Provider Details

I. General information

NPI: 1396372306
Provider Name (Legal Business Name): WARREN ANDREW WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 HENDERSONVILLE RD
ARDEN NC
28704-9577
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-8800
  • Fax: 828-651-0026
Mailing address:
  • Phone: 828-258-8800
  • Fax: 828-651-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number94609
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number2026-02707
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: