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Organization
WILLIAMSTON CLINIC CORP
Active
Organization
WILLIAMSTON CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
104 MEDICAL DR, WILLIAMSTON, NC 27892-2156
(252) 890-6341
Mailing address
PO BOX 19034, BELFAST, ME 04915-4085
(615) 221-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NC
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018PT
BCBS
NC
01
—
0725M
BCBS
NC
05
—
5905764
—
NC
05
—
89012FU
—
NC
Enumeration date
05/27/2005
Last updated
07/07/2023
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