Provider Demographics
NPI:1003477621
Name:WARD, DEBORAH WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:WILLIAMS
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 PLAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4152
Mailing Address - Country:US
Mailing Address - Phone:804-740-3059
Mailing Address - Fax:
Practice Address - Street 1:1810 PLAIN VIEW RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4152
Practice Address - Country:US
Practice Address - Phone:804-740-3059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101034779208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty