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Individual
DR. VAN A WILLIS II
Active
Individual
DR. VAN A WILLIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2006-01804
NC
208D00000X
General Practice Physician
2006-01804
NC
Other
Enumeration date
12/18/2008
Last updated
08/13/2025
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