Individual
JOSHUA LAMONT WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5336 COG HILL CT, RALEIGH, NC 27604-5894
(919) 612-6612
Mailing address
5336 COG HILL CT, RALEIGH, NC 27604-5894
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NONE
—
Enumeration date
01/14/2019
Last updated
01/14/2019
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