Williams, Patrick Dale

Williams, Patrick Dale is an sole proprietor health care provider with primary practice located at 222 Herlong Ave S , Rock Hill SC 29732-1158. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Williams, Patrick Dale can be contacted via phone (803) 329-1234.

Contact Information

Primary practice address
222 Herlong Ave S Rock Hill SC 29732-1158
Phone: (803) 329-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP130336 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 23337 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-137158 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 5010304 North Carolina

Profile Details

NPI number 1720453954
LBN Legal business name Williams, Patrick Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2015
Last updated Jul 11th, 2022 - about 3 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 1720453954 NPPES
Texas MEDICAID 362926301

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