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Individual

PATRICK DALE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
222 HERLONG AVE S, ROCK HILL, SC 29732-1158
(803) 329-1234
Mailing address
7206 IRONGATE DR, LANCASTER, SC 29720-0321
(256) 393-6912

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-137158
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
23337
SC
363LA2100X
Acute Care Nurse Practitioner
5010304
NC
363LA2100X
Acute Care Nurse Practitioner
AP130336
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362926301
TX
Enumeration date
12/14/2015
Last updated
07/11/2022
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