Individual
MR. MATTHEW WAYNE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3601
Mailing address
1223 DUTCH HOLLOW RD, DUNBAR, WV 25064-1224
(304) 672-2747
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
73324
WV
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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