Individual
ALEXANDER WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
1200 W BROAD ST, RICHMOND, VA 23284-9023
(804) 828-2321
Mailing address
14031 S CARRIAGE LN, MIDLOTHIAN, VA 23114-4332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003455
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126003455
COMMONWEALTH OF VA DEPARTMENT OF HEALTH PROFESSIONS
—
Enumeration date
12/02/2022
Last updated
12/02/2022
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