Williams, Heather Edmonds

Williams, Heather Edmonds is an individual health care provider with primary practice located at 101 S Ravenel St Ste 230 , Florence SC 29506-2624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Heather Edmonds can be contacted via phone (843) 777-7043.

Contact Information

Primary practice address
101 S Ravenel St Ste 230 Florence SC 29506-2624
Fax: (843) 777-7041
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1587 South Carolina

Profile Details

NPI number 1508166745
LBN Legal business name Williams, Heather Edmonds
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2010
Last updated Jun 4th, 2024 - about last year

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 1508166745 NPPES
South Carolina MEDICAID 1082PA
South Carolina Other P00911767
South Carolina MEDICAID 8101804

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