Individual
DR. BRENDA SUE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
751 S LAUREL ST, LINCOLNTON, NC 28092-3622
(980) 284-2005
(980) 284-2008
Mailing address
751 S LAUREL ST, LINCOLNTON, NC 28092-3622
(980) 284-2005
(980) 284-2008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
201002109
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176C4
BCBS OF NC
NC
Enumeration date
12/13/2007
Last updated
03/24/2025
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