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Individual

CARLOS A WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101054817
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007116241
VA
01
130023188
RAILROAD MEDICARE
VA
01
285322
ANTHEM
VA
05
89063V9
NC
Enumeration date
08/16/2005
Last updated
11/10/2009
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