Healthcare Provider Details

I. General information

NPI: 1316390099
Provider Name (Legal Business Name): DAVID LEE WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2016
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAROMONT REGIONAL MEDICAL CENTER 2525 COURT DR
GASTONIA NC
28054
US

IV. Provider business mailing address

736 MICHAELS CRK
EVANS GA
30809-4042
US

V. Phone/Fax

Practice location:
  • Phone: 704-834-2000
  • Fax:
Mailing address:
  • Phone: 843-647-9040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2022-02353
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: