# DR. VAN WAGNER WILLIAMS III

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1942404066
- **Gender:** Man
- **Credential:** M.D. MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101044104 | VA | — |
| 208000000X | Pediatrics Physician | 0101044104 | VA | — |
| 208D00000X | General Practice Physician | 0101044104 | VA | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101044104 | STATE LICENSE | VA |