Individual
BILL ALLEN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 MARION WAY, HAGUE, VA 22469
(804) 472-4260
Mailing address
132 MAIN ST, WARSAW, VA 22572-5216
(804) 472-7020
(877) 655-9886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1930
—
VA
Enumeration date
04/23/2010
Last updated
07/13/2018
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