Organization
PROVIDENCE IMAGING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN WILLIAMS MD (PRESIDENT)
(828) 692-6848
Entity
Organization
Contact information
Practice address
53 S FRENCH BROAD AVE STE 200, ASHEVILLE, NC 28801
(828) 274-7502
Mailing address
2315 ASHEVILLE HWY STE 40, HENDERSONVILLE, NC 28791-1561
(828) 692-6948
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0140F
BCBS
NC
05
—
890140F
—
NC
Enumeration date
08/18/2006
Last updated
04/26/2019
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