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Individual
MARY KATHERINE WILLIAMS
Active
Individual
MARY KATHERINE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588959407
—
NC
01
—
1759N
BCBS
NC
Enumeration date
06/20/2011
Last updated
09/19/2024
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