Provider Demographics
NPI:1275223406
Name:FROSTINE WILLIAMS
Entity Type:Organization
Organization Name:FROSTINE WILLIAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHETIC/ORTHOTIC SUPPLIER
Authorized Official - Prefix:
Authorized Official - First Name:FROSTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-225-0494
Mailing Address - Street 1:10408 COURTHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1712
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10408 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1712
Practice Address - Country:US
Practice Address - Phone:571-491-7188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier