Individual
FAYE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7133 SISSONVILLE DR, SISSONVILLE, WV 25320-9738
(304) 984-1576
(304) 984-1565
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0000
WV
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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