Provider Demographics
NPI:1083680862
Name:WILLIAMS, ROBIN C (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:C
Last Name:WILLIAMS
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 1:411 VIRGINIA DR
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-7329
Mailing Address - Country:US
Mailing Address - Phone:870-698-9747
Mailing Address - Fax:870-698-0301
Practice Address - Street 1:411 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7329
Practice Address - Country:US
Practice Address - Phone:870-698-9747
Practice Address - Fax:870-698-0301
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR4485207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR133120000OtherQUALCHOICE
AR123446001Medicaid
AR133120000OtherQUALCHOICE
AR123446001Medicaid