Individual
DR. CHARLES DALE WILLIAMS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96MDG, 307 BOATNER ROAD, STE 113, EGLIN AFB, FL 32542
(850) 883-9957
Mailing address
P.O. BOX 22672, PHILADELPHIA, PA 19110
(215) 987-3130
(215) 346-5115
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A100136
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD451007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
356346
—
PA
Enumeration date
08/01/2007
Last updated
10/17/2018
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