Individual
MR. JOHN KONRAD WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 S TILLERY ST, ROCKY MOUNT, NC 27804-5528
(252) 200-8176
Mailing address
512 N HALIFAX RD, ROCKY MOUNT, NC 27804-7819
(252) 200-8176
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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