Healthcare Provider Details

I. General information

NPI: 1437060712
Provider Name (Legal Business Name): CLAIRE MADELINE WILLIAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 GRAVES MILL RD
FOREST VA
24551-2656
US

IV. Provider business mailing address

2437 OAKLEIGH AVE
APPOMATTOX VA
24522-5172
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-8948
  • Fax:
Mailing address:
  • Phone: 571-529-0639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: