Provider Demographics
NPI:1073050431
Name:WILLIAMS, CHRIS HAYES
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:HAYES
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 EAGLE AVE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4653
Mailing Address - Country:US
Mailing Address - Phone:305-407-0677
Mailing Address - Fax:
Practice Address - Street 1:3531 EAGLE AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4653
Practice Address - Country:US
Practice Address - Phone:305-407-0677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program