Williams, Mason Miller

Williams, Mason Miller is an individual health care provider with primary practice located at 5899 Bremo Rd Suite 205, Richmond VA 23226-1935. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Williams, Mason Miller can be contacted via phone (804) 285-4115.

Contact Information

Primary practice address
5899 Bremo Rd Suite 205 Richmond VA 23226-1935
Phone: (804) 285-4115
Fax: (804) 673-6714
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 0101026065 Virginia

Profile Details

NPI number 1164459715
LBN Legal business name Williams, Mason Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Dec 11th, 2013 - about 11 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 1164459715 NPPES
Virginia MEDICAID 6961231

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