Individual
IVY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 CENTIPEDE DR, ROCKY MOUNT, NC 27801-3301
(252) 289-5727
Mailing address
1425 CENTIPEDE DR, ROCKY MOUNT, NC 27801-3301
(252) 289-5727
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
7892605
NC
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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