Individual
ANDREA M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7006 SHANNON WILLOW RD, CHARLOTTE, NC 28226-1318
(704) 544-6533
(704) 544-6583
Mailing address
8334 PINEVILLE MATTHEWS RD, SUITE 103-151, CHARLOTTE, NC 28226-3774
(704) 544-6533
(704) 544-6583
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22182
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134F5
—
NC
05
—
GP4146
—
SC
Enumeration date
05/22/2006
Last updated
02/09/2010
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