Healthcare Provider Details

I. General information

NPI: 1851775134
Provider Name (Legal Business Name): WILLIAMS PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2015
Last Update Date: 07/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 BROWNING PL SUITE 201
RALEIGH NC
27609-6508
US

IV. Provider business mailing address

3900 BROWNING PL SUITE 201
RALEIGH NC
27609-6508
US

V. Phone/Fax

Practice location:
  • Phone: 919-787-7125
  • Fax: 919-781-9952
Mailing address:
  • Phone: 919-787-7125
  • Fax: 919-781-9952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: ALYSSA WILLIAMS GEORGE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 919-787-7125