Provider Demographics
NPI:1194225904
Name:WILLIAMS, RHONDA RAE (PA-C)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:RAE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16605 KENDLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:MD
Mailing Address - Zip Code:21795-1614
Mailing Address - Country:US
Mailing Address - Phone:301-223-1241
Mailing Address - Fax:301-223-1240
Practice Address - Street 1:16605 KENDLE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:MD
Practice Address - Zip Code:21795-1614
Practice Address - Country:US
Practice Address - Phone:301-223-1241
Practice Address - Fax:301-223-1240
Is Sole Proprietor?:No
Enumeration Date:2018-02-19
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0006762363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant