Provider Demographics
NPI:1093774234
Name:WILLIAMS, NATHAN EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:NATHAN
Middle Name:EDWARD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 S FRENCH BROAD AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-3266
Mailing Address - Country:US
Mailing Address - Phone:828-274-7502
Mailing Address - Fax:828-552-5661
Practice Address - Street 1:53 S FRENCH BROAD AVE STE 200
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3266
Practice Address - Country:US
Practice Address - Phone:828-274-7502
Practice Address - Fax:828-552-5661
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27648207V00000X, 207VG0400X
NC11794207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8034908OtherCIGNA
NC87861OtherBLUE CROSS
NC8987861Medicaid
NC1173010OtherGATEWAY
NC4378109OtherAETNA
NC1173010OtherGATEWAY
NC87861OtherBLUE CROSS
NC4378109OtherAETNA