Healthcare Provider Details

I. General information

NPI: 1003735390
Provider Name (Legal Business Name): MARQUISHA WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1804 MARTIN LUTHER KING PKWY STE 111
DURHAM NC
27707-3587
US

IV. Provider business mailing address

1804 MARTIN LUTHER KING PKWY STE 111
DURHAM NC
27707-3587
US

V. Phone/Fax

Practice location:
  • Phone: 336-255-5138
  • Fax:
Mailing address:
  • Phone: 336-255-5138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: