Individual
SAM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
702 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7220
(252) 757-0123
Mailing address
702 JOHNS HOPKINS DR, GREENVILLE, NC 27834-7220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0698
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04861
BLUE CROSS & BLUE SHIELD
NC
01
—
E2342
MEDCOST
NC
Enumeration date
11/22/2006
Last updated
07/08/2007
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