Healthcare Provider Details

I. General information

NPI: 1275625576
Provider Name (Legal Business Name): TIMOTHY R WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: TIMOTHY RICHARD WILLIAMS

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE VA
22911-8844
US

IV. Provider business mailing address

650 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE VA
22911-8844
US

V. Phone/Fax

Practice location:
  • Phone: 434-293-4072
  • Fax: 434-293-4265
Mailing address:
  • Phone: 434-293-4072
  • Fax: 434-293-4265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number0101241677
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: