Individual
MARVA DENISE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 SUNSET DR, MANNING, SC 29102-2904
(803) 435-4447
(803) 435-9092
Mailing address
107 SUNSET DR, MANNING, SC 29102-2904
(803) 435-4447
(803) 435-9092
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
22121
SC
207Q00000X
Family Medicine Physician
Primary
22121
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689194060
NPI
SC
Enumeration date
09/26/2006
Last updated
04/10/2023
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