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General NPI Number Information
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NPI Number | 1205027703
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Entity Type | Individual
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Provider Name | SAMUEL J. WILLIAMS II M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 834 RED LN
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City | SALEM
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State | VA
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Zip | 24153-2726
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Country | US
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Telephone | 540-387-0155
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Fax |
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Provider Business Mailing Address
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Address Line | 834 RED LN
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City | SALEM
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State | VA
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Zip | 24153-2726
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Country | US
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Telephone | 540-387-0155
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 000032615
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8273638-8017
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License Number State | UT
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