Provider Demographics
NPI:1053681528
Name:WILLIAMSON, MICHEL B (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:B
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PINNER WEALD WAY
Mailing Address - Street 2:102
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2793
Mailing Address - Country:US
Mailing Address - Phone:919-462-0313
Mailing Address - Fax:919-462-0410
Practice Address - Street 1:200 PINNER WEALD WAY
Practice Address - Street 2:102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2793
Practice Address - Country:US
Practice Address - Phone:919-462-0313
Practice Address - Fax:919-462-0410
Is Sole Proprietor?:No
Enumeration Date:2011-12-30
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556932111N00000X
NC3945111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor