Individual
DR. BENJAMIN J. WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H4795
TX
2084N0400X
Neurology Physician
Primary
9400173
NC
2084N0400X
Neurology Physician
H4795
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030298602
—
TX
01
—
126905100
FIRSTCARE
TX
01
—
130020118
RRMDC
TX
01
—
4306523
AETNA
TX
01
—
8R9270
BLUE CROSS
TX
01
—
P8108
NMMDD
TX
Enumeration date
12/20/2005
Last updated
01/16/2018
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