Individual
DEREK ADAM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 BLYTHE BLVD, STE 500, CHARLOTTE, NC 28203-5866
(704) 373-1813
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
2006-01306
NC
208000000X
Pediatrics Physician
2006-01306
NC
2080P0202X
Pediatric Cardiology Physician
2006-01306
NC
Other
Enumeration date
08/20/2006
Last updated
07/15/2024
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