Individual
DANA RAY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101941
NC
363AM0700X
Medical Physician Assistant
Primary
0110840307
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063485001
—
VA
01
—
P00603322
MEDICARE RAILROAD
VA
Enumeration date
02/09/2006
Last updated
09/21/2016
Update your record
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