Individual
DR. CHARLES KEITH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 THIRD STREET, SUITE 101, GREENSBORO, NC 27405-6967
(336) 273-2511
(336) 370-0287
Mailing address
PO BOX 29568, GREENSBORO, NC 27429-9568
(336) 273-2511
(336) 370-0287
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
33768
NC
2084N0400X
Neurology Physician
Primary
33768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130015016
PALMETTO GBA RR MEDICARE
NC
Enumeration date
04/26/2006
Last updated
09/17/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us