Individual
DR. JANIS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8461
Mailing address
PO BOX 635007, CINCINNATI, OH 45263-5007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1042
WV
208D00000X
General Practice Physician
1042
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051818000
—
WV
05
—
10326257
—
VA
01
—
1054007
WORKERS COMP
WV
01
—
P00397747
RAILROAD MEDICARE
WV
05
—
PENDING
—
WV
Enumeration date
06/22/2006
Last updated
11/29/2007
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