Provider Demographics
NPI:1073793386
Name:WILLIAMS, PAMELA S
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 CHADBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-7609
Mailing Address - Country:US
Mailing Address - Phone:716-812-0303
Mailing Address - Fax:
Practice Address - Street 1:3808 CHADBOURNE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28312-7609
Practice Address - Country:US
Practice Address - Phone:716-812-0303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)