Individual
STACIE ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1737 WILKESBORO HWY STE D, STATESVILLE, NC 28625-8602
(704) 878-2660
Mailing address
1737 WILKESBORO HWY STE D, STATESVILLE, NC 28625-8602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2773
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2023
Last updated
10/18/2023
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