Doctor Name: | ALLISON NICOLE WILLIAMS |
NPI Number: | 1093007239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0010-04011 |
Business Practice Address: | 117 E Kings Hwy Eden, NC - 272885201 |
Business Phone Number: | 3366239711 |
Business Fax Number: | 3366270778 |
Mailing Address: | 117 E Kings Hwy, EDEN |
State: | NC |
Postal Code: | 272885201 |
Phone Number: | 3336276196 |
Fax Number: | 3366234268 |
NPI Enumeration Date: | 05/06/2011 |
NPI Last Update Date: | 11/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0010-04011 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |