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NPI Code Detail

MEDICARE: GARLAND BRUCE WILLIAMS JR. FNPC

MEDICARE:   GARLAND BRUCE WILLIAMS JR. FNPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner200258NC

General Provider Information

NPI Number : 1487642146
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARLAND BRUCE WILLIAMS JR. FNPC
Provider Business Mailing Address
First Line : 301 S CAMPBELL ST
Second Line :
City : BURGAW
State : NC
Zip : 28425-5011
Country : US
Telephone Number : 910-259-6973
Fax Number : 910-259-6975
Provider Business Practice Location Address
First Line : 301 S CAMPBELL ST
Second Line :
City : BURGAW
State : NC
Zip : 28425-5011
Country : US
Telephone Number : 910-259-6973
Fax Number : 910-259-6975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 05/10/2013

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Directions to “ GARLAND BRUCE WILLIAMS JR. FNPC” Practice Location

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