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NPI Code Detail

MEDICARE: WILLIAM EDWARD WILLIAMS

MEDICARE:   WILLIAM EDWARD WILLIAMS
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
11223G0001XGeneral Practice Dentistry5431NC

General Provider Information

NPI Number : 1851464432
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM EDWARD WILLIAMS
Provider Business Mailing Address
First Line : 2799 S CHARLES BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-3364
Country : US
Telephone Number : 252-355-2300
Fax Number : 252-355-2214
Provider Business Practice Location Address
First Line : 2799 S CHARLES BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-3364
Country : US
Telephone Number : 252-355-2300
Fax Number : 252-355-2214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 08/11/2023

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