Individual
TAMARA L JENISON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12201 N NC HIGHWAY 150, SUITE 23, WINSTON SALEM, NC 27127-9731
(336) 764-9030
(336) 764-9038
Mailing address
12201 N NC HIGHWAY 150, SUITE 23, WINSTON SALEM, NC 27127-9731
(336) 764-9030
(336) 764-9038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1845
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
093T5
BCBS
NC
05
—
5902524
—
NC
01
—
NC1845
EYEMED
NC
Enumeration date
09/27/2006
Last updated
07/17/2009
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