Provider Demographics
NPI:1073945994
Name:WILLIAMS, RICHARD WOODROW III (DC, LAT, ATC, CCEP)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:WOODROW
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:DC, LAT, ATC, CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6225
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-6225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:174 BOLICK LN
Practice Address - Street 2:SUITE 102
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-3319
Practice Address - Country:US
Practice Address - Phone:828-598-0371
Practice Address - Fax:828-598-0372
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4399111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor