Williams, Elliott Fennell
Williams, Elliott Fennell is an individual health care provider with primary practice located at 401 Ferndale Blvd , High Point NC 27262-4739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williams, Elliott Fennell can be contacted via phone (336) 882-2567.Contact Information
Primary practice address
401 Ferndale Blvd
High Point NC 27262-4739
Phone: (336) 882-2567
Fax: (336) 882-5466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34811 | North Carolina |
Profile Details
| NPI number | 1538161401 |
|---|---|
| LBN Legal business name | Williams, Elliott Fennell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Aug 1st, 2007 - about 17 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 | 1538161401 | NPPES |
| North Carolina | MEDICAID | 8987696 |
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