Individual
DR. PAUL A WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2700 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9460
(919) 734-1866
(919) 736-1804
Mailing address
PO DRAWER 1757, GOLDSBORO, NC 27533
(919) 734-1866
(919) 736-1804
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
200100625
NC
2085R0202X
Diagnostic Radiology Physician
200100625
NC
2085R0204X
Vascular & Interventional Radiology Physician
200100625
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02898
WORK COMP
NC
01
—
129EK
BCBS
NC
05
—
89129EK
—
NC
Enumeration date
04/06/2006
Last updated
09/23/2021
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