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NPI Code Detail

MEDICARE: DR. DAVID GOODWIN WILLIAMS MD

MEDICARE: DR. DAVID GOODWIN WILLIAMS MD
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
12085R0202XDiagnostic Radiology Physician0020086NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
116-03416OTHERNCUNITED HEALTHCARE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
387688OTHERNCBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1568463735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID GOODWIN WILLIAMS MD
Provider Business Mailing Address
First Line : PO BOX 1430
Second Line :
City : ASHEBORO
State : NC
Zip : 27204-1430
Country : US
Telephone Number : 336-629-6565
Fax Number : 336-626-5640
Provider Business Practice Location Address
First Line : 364 WHITE OAK ST
Second Line :
City : ASHEBORO
State : NC
Zip : 27203-5434
Country : US
Telephone Number : 336-629-6565
Fax Number : 336-626-5640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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