Provider Demographics
NPI:1235290727
Name:WILLIAMS, ANNE C (MPT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 BEAR CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:BUMPASS
Mailing Address - State:VA
Mailing Address - Zip Code:23024-4925
Mailing Address - Country:US
Mailing Address - Phone:540-894-5188
Mailing Address - Fax:540-854-0369
Practice Address - Street 1:9445 ZACHARY TAYLOR HWY
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:VA
Practice Address - Zip Code:22567-2126
Practice Address - Country:US
Practice Address - Phone:540-854-0367
Practice Address - Fax:540-854-0369
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA195167OtherBLUECROSSBLUESHIELD #
VA195167OtherBLUECROSSBLUESHIELD #