Organization
WILLIAMS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S. WILLIAMS M.D. (OWNER)
(479) 243-9024
Entity
Organization
Contact information
Practice address
403E MORROW ST N, MENA, AR 71953-4317
(479) 243-9024
(479) 243-9248
Mailing address
PO BOX 295, LOCKESBURG, AR 71846-0295
(870) 289-5865
(870) 289-6993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E2014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164012002
—
AR
Enumeration date
01/03/2007
Last updated
04/23/2008
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