Williams, Sierra R

Williams, Sierra R is an individual health care provider with primary practice located at 200 Patewood Dr Ste B260 , Greenville SC 29615-6328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Williams, Sierra R can be contacted via phone (864) 454-2100.

Contact Information

Primary practice address
200 Patewood Dr Ste B260 Greenville SC 29615-6328
Fax: (864) 241-9248
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 20802 South Carolina

Profile Details

NPI number 1457891228
LBN Legal business name Williams, Sierra R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2017
Last updated Jun 29th, 2021 - about 5 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 1457891228 NPPES
South Carolina MEDICAID NP4419

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