Individual
DR. TED A WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5875 BREMO RD, SUITE 303, RICHMOND, VA 23226-1934
(804) 893-8610
(804) 287-7285
Mailing address
5875 BREMO RD, SUITE 303, RICHMOND, VA 23226-1934
(804) 893-8610
(804) 287-7285
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
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