Individual
MR. BIOUS WINGATE WILLIAMSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
116 PHANTOM LN, DURHAM, NC 27703-7613
(910) 995-5594
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
283634
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
006957
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/23/2020
Last updated
09/29/2022
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