Individual
WALTER CORNELIUS WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3536 LENA LN, GREENVILLE, NC 27834-6163
(252) 495-2158
Mailing address
3536 LENA LN, GREENVILLE, NC 27834-6163
(252) 495-2158
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4275
NC
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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