Williams, Carol
Williams, Carol is an individual health care provider with primary practice located at 9113 Dickey Dr , Mechanicsville VA 23116-2502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Williams, Carol can be contacted via phone (804) 559-7280.Contact Information
Primary practice address
9113 Dickey Dr
Mechanicsville VA 23116-2502
Phone: (804) 559-7280
Fax: (804) 559-7282
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 0101050409 | Virginia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101050409 | Virginia |
Profile Details
NPI number | 1508912486 |
---|---|
LBN Legal business name | Williams, Carol |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 25th, 2007 |
Last updated | Nov 2nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508912486 | NPPES |
Virginia | Other | 542006346 | FED TAX ID |
Virginia | MEDICAID | 006716211 | FED TAX ID |
Virginia | Other | C06193 | FED TAX ID |
Virginia | Other | C06115 | FED TAX ID |
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