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Individual

PRINCESS NICOLE WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
150 FAIRVIEW RD, STE 110, MOORESVILLE, NC 28117-9506
(704) 769-3800
(704) 800-6006
Mailing address
150 FAIRVIEW RD, STE 110, MOORESVILLE, NC 28117-9506
(205) 930-0806

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
35024
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35024
ALBME
AL
Enumeration date
06/16/2010
Last updated
09/12/2022
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