Individual
DR. RONEL R. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
607 OAKLAND AVE, MT LAKE PARK, MD 21550-3734
(301) 334-3160
(301) 334-3182
Mailing address
18505 MARYLAND HWY, SWANTON, MD 21561-1423
(301) 359-3568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1108
MD
111N00000X
Chiropractor
366
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000174100
—
MD
05
—
0131153000
—
WV
01
—
329956
MAMSI
—
01
—
7016547
CIGNA
—
01
—
KBK4
CAREFIRST BC/BS
—
01
—
W2110001
BLUE CHOICE
MD
01
—
W2110001
FEDERAL B/C
—
Enumeration date
07/08/2005
Last updated
02/14/2012
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