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Individual

DWAYNE ROY WILLIAMS II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RDMS, RVT

Contact information

Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
1525 PAINT CREEK RD, MOUNT HOPE, WV 25880-6575

Taxonomy

Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
117465
2471V0105X
Vascular Sonography Radiologic Technologist
117465

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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