Individual
MRS. HEATHER EDMONDS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 S RAVENEL ST STE 230, FLORENCE, SC 29506-2624
(843) 777-7043
(843) 777-7041
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7043
(843) 777-7041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1587
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1082PA
—
SC
05
—
8101804
—
NC
01
—
P00911767
RAILROAD MEDICARE
SC
Enumeration date
10/21/2010
Last updated
06/04/2024
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