Doctor Name: | DR. JANIS WILLIAMS |
NPI Number: | 1154367316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 1042 |
Business Practice Address: | 454 Mcdowell St Welch, WV - 248012029 |
Business Phone Number: | 3044368461 |
Business Fax Number: | |
Mailing Address: | Po Box 635007, CINCINNATI |
State: | OH |
Postal Code: | 452635007 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 11/29/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1042 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |