Individual
STEVEN SHANE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285677740
—
VA
01
—
P00449576
MEDICARE RAILROAD
VA
Enumeration date
06/13/2006
Last updated
04/16/2008
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