Healthcare Provider Details

I. General information

NPI: 1720575863
Provider Name (Legal Business Name): DANA ANN WILLIAMS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2018
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 OBERLIN RD STE A
RALEIGH NC
27608-2052
US

IV. Provider business mailing address

2706 MEDICAL OFFICE PL
GOLDSBORO NC
27534-9462
US

V. Phone/Fax

Practice location:
  • Phone: 919-828-4747
  • Fax: 919-828-6765
Mailing address:
  • Phone: 919-734-4736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2021-01809
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: