Doctor Name: | MS. CASARA NICHOLE WILLIAMS |
NPI Number: | 1740582279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 918660211 |
Business Practice Address: | 7922 Olive Hill Dr Mabelvale, AR - 721033847 |
Business Phone Number: | 5016121876 |
Business Fax Number: | |
Mailing Address: | 11016 Charlotte Dr, MABELVALE |
State: | AR |
Postal Code: | 721033054 |
Phone Number: | 5013529843 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2010 |
NPI Last Update Date: | 12/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 172A00000X |
License Number: | 918660211 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Driver |
Taxonomy Specialization: | |
Taxonomy Definition: | A person employed to operate a motor vehicle as a carrier of persons or property. |