Individual
CORNELIUS WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 YOUNG ST, HENDERSON, NC 27536-4248
(252) 598-1008
Mailing address
PO BOX 2002, HENDERSON, NC 27536-2002
(252) 204-1381
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MHL-091-110
NC
Other
Enumeration date
03/14/2019
Last updated
03/15/2019
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