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Individual

DR. N WYNTA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
4224 HOLLAND RD, SUITE #106, VIRGINIA BEACH, VA 23452-1900
(757) 498-0202
(757) 498-7936
Mailing address
4224 HOLLAND RD, SUITE #106, VIRGINIA BEACH, VA 23452-1900
(757) 498-0202
(757) 498-7936

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0103000797
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
235919
ANTHEM BLUE SHIELD BLUE C
VA
01
292614
MDIPA
VA
01
45494
OPTIMA HEALTH
VA
01
480032523
RR MEDICARE
VA
01
5180770001
DMERC
VA
01
5180770002
DMERC
VA
05
9300953
VA
Enumeration date
03/14/2006
Last updated
05/09/2012
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