| NPI | 1922632678 |
|---|---|
| Former Legal Business Name | WILLIAMS |
| Entity Type | Organization |
| Authorized Contact | SHANTA WILLIAMS Nurse Practitioner 704-280-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2022-04-13 |