1144246406 NPI number — DR. ALMA LANETTE WILLIAMS D.C.

Table of content: DR. ALMA LANETTE WILLIAMS D.C. (NPI 1144246406)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144246406 NPI number — DR. ALMA LANETTE WILLIAMS D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WILLIAMS
Provider First Name:
ALMA
Provider Middle Name:
LANETTE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144246406
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
575 NC HIGHWAY 87 N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27312-7230
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-545-5548
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 PINNER WEALD WAY
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
CARY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27513-2793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-462-0313
Provider Business Practice Location Address Fax Number:
919-462-0410
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  3036 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89085MY , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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