Organization
COMMONWEALTH NEURO SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A WILLIAMS MD (PRESIDENT OWNER)
(434) 447-9033
Entity
Organization
Contact information
Practice address
501 LOMBARDY ST, SOUTH HILL, VA 23970-2107
(434) 447-9033
(434) 447-9034
Mailing address
PO BOX 654, SOUTH HILL, VA 23970-0654
(434) 447-9033
(434) 447-9034
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101054817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ6173
RAILROAD MEDICARE
VA
Enumeration date
06/28/2006
Last updated
10/15/2007
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