Healthcare Provider Details

I. General information

NPI: 1932011699
Provider Name (Legal Business Name): REGINALD VINCENT WILLIAMS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: REGGIE WILLIAMS

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HOSPITAL DR
MONROE NC
28112-6000
US

IV. Provider business mailing address

600 HOSPITAL DR
MONROE NC
28112-6000
US

V. Phone/Fax

Practice location:
  • Phone: 980-993-3277
  • Fax: 980-993-3269
Mailing address:
  • Phone: 980-993-3277
  • Fax: 980-993-3269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP23733
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: