Individual
DR. LAURIE MARIE MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2615 LAKE DR, SUITE 301, RALEIGH, NC 27607-6693
(919) 787-5995
(919) 783-9406
Mailing address
DEPT. 453 PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2009-00618
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699942714
—
NC
01
—
NCG147C
MEDICARE PTAN
NC
Enumeration date
05/08/2008
Last updated
10/31/2023
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