Individual
DR. MICHAEL T WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 N MAIN ST STE 200, SUFFOLK, VA 23434-4564
(757) 934-1003
(757) 934-1660
Mailing address
114 N MAIN ST STE 200, SUFFOLK, VA 23434-4564
(757) 934-1003
(757) 934-1660
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041020
ANTHEM
VA
05
—
6040195
—
VA
01
—
7906536
MEDICAID
NC
Enumeration date
01/19/2007
Last updated
09/20/2024
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