Individual
SHAMIKA HALL-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 N HERRITAGE ST, KINSTON, NC 28501-4359
(252) 527-1010
Mailing address
619 NORTH HERRITAGE STREET, KINSTON, NC 28504
(252) 527-1010
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
C67397
NC
224P00000X
Prosthetist
Primary
C67397
NC
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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