Individual
MR. OTHEA C, WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
285 BROOKSTONE WAY, JACKSONVILLE, NC 28546-9538
(910) 451-4041
Mailing address
285 BROOKSTONE WAY, JACKSONVILLE, NC 28546-9538
(910) 451-4041
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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