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Individual

ERIC WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2001 CRYSTAL SPRING AVE SW, SUITE 203, ROANOKE, VA 24014-2462
(540) 982-8204
(540) 224-1059
Mailing address
2001 CRYSTAL SPRING AVE SW, SUITE 203, ROANOKE, VA 24014-2462
(540) 982-8204
(540) 224-1059

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101059199
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101059199
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005857104
VA
05
5852811
VA
01
MC10532
MEDICARE PROVIDER NUMBER
VA
Enumeration date
07/29/2005
Last updated
06/26/2015
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