Individual
DR. CAROL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Mailing address
9113 DICKEY DR, MECHANICSVILLE, VA 23116-2502
(804) 559-7280
(804) 559-7282
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101050409
VA
2080A0000X
Pediatric Adolescent Medicine Physician
0101050409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006716211
—
VA
01
—
542006346
FED TAX ID
VA
01
—
C06115
GROUP PTAN
VA
01
—
C06193
GROUP PTAN
VA
Enumeration date
01/25/2007
Last updated
11/02/2022
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