Healthcare Provider Details

I. General information

NPI: 1013955525
Provider Name (Legal Business Name): TOWN OF WILLIAMSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 WASHINGTON ST
WILLIAMSTON NC
27892-2651
US

IV. Provider business mailing address

PO BOX 602
WILLIAMSTON NC
27892-0602
US

V. Phone/Fax

Practice location:
  • Phone: 252-792-3521
  • Fax: 252-792-3478
Mailing address:
  • Phone: 252-792-3521
  • Fax: 252-792-3478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. DONALD CHRISTOPHER
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-792-3521