Individual
MATTHEW MICHAEL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8108B MARKET ST, WILMINGTON, NC 28411-9386
(910) 686-2099
(910) 681-3904
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3300
(910) 341-3321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9901490
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080173935
RAILROAD MEDICARE
NC
01
—
1281M
BCBS NC
NC
05
—
891281M
—
NC
Enumeration date
09/26/2006
Last updated
08/13/2014
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