Individual
DR. TED A WILLIAMS
Active
Individual
DR. TED A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101044947
VA
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101044947
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6734961
—
VA
01
—
C06778
GROUP PTAN
VA
Enumeration date
09/07/2006
Last updated
08/14/2012
Update your record
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