Individual
SANDRA G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(804) 220-5770
Mailing address
PO BOX 780125, PHILADELPHIA, PA 19178-0125
(804) 922-4844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024183392
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024183362
VA
Other
Enumeration date
08/02/2022
Last updated
09/03/2025
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