Healthcare Provider Details

I. General information

NPI: 1174930713
Provider Name (Legal Business Name): BRITTANY T WILLIAMS PA, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2014
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 CHESTNUT ST
BREVARD NC
28712-3897
US

IV. Provider business mailing address

316 CHESTNUT ST
BREVARD NC
28712-3897
US

V. Phone/Fax

Practice location:
  • Phone: 828-694-7676
  • Fax: 828-694-7677
Mailing address:
  • Phone: 828-694-7676
  • Fax: 828-694-7677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: