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
Fax: (804) 559-7282
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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