Individual
TERRENCE R. MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2271
(401) 846-6400
Mailing address
117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 02905-4513
(401) 444-4318
(401) 444-6573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 07900
RI
207QS0010X
Sports Medicine (Family Medicine) Physician
MD07900
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27088-5
RI BC/BS
RI
01
—
411397
RI BLUE CHIP
RI
05
—
7002290
—
RI
Enumeration date
07/01/2005
Last updated
03/31/2015
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