Doctor Name: | DEANNA JO WILLIAMSON |
NPI Number: | 1942369855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0090 |
Business Practice Address: | 727 Professional Dr New Bern, NC - 285604547 |
Business Phone Number: | 2526359822 |
Business Fax Number: | 2526351822 |
Mailing Address: | Po Box 1712, KERNERSVILLE |
State: | NC |
Postal Code: | 272851712 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/06/2006 |
NPI Last Update Date: | 12/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0090 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |