Individual
MR. OMAR S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 ACADEMY DR, GREENVILLE, NC 27834-8775
(919) 870-1272
Mailing address
9650 STRICKLAND RD STE 103-142, RALEIGH, NC 27615-1902
(919) 870-1272
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
8230102
NC
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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