Individual
ROLAND WILLIAMS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 E MAIN ST, SPRINGVILLE, NY 14141-1443
(716) 592-2871
Mailing address
PO BOX 281562, ATLANTA, GA 30384-1562
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
198667-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000525287002
BLUE SHIELD
NY
05
—
01636488
—
NY
Enumeration date
07/24/2006
Last updated
07/09/2007
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