Individual
MRS. PENNY ANNETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
1230 SPRINGWOOD CHURCH RD, GIBSONVILLE, NC 27249-2667
(336) 449-7357
(336) 449-7592
Mailing address
PO BOX 376, GIBSONVILLE, NC 27249-0376
(336) 449-7357
(336) 449-7592
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C26362
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795315
—
NC
Enumeration date
09/03/2009
Last updated
11/29/2011
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