Individual
DANIEL WALTER WILLIAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
29515
NC
2085R0204X
Vascular & Interventional Radiology Physician
29515
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195745000
—
WV
01
—
300131068
RR MEDICARE
—
01
—
4382074
AETNA
—
01
—
64194
MEDCOST
—
05
—
7258283
—
VA
05
—
7987664
—
NC
01
—
8649
PARTNERS
—
01
—
87664
BCBS
—
05
—
Q29515
—
SC
Enumeration date
12/02/2005
Last updated
10/08/2010
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