Individual
DR. MYRIA A MACK-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C1-0005655
DE
208000000X
Pediatrics Physician
Primary
MD 205223
LA
208000000X
Pediatrics Physician
MD-427421
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000961001
—
DE
Enumeration date
07/25/2006
Last updated
05/04/2012
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