Provider Demographics
NPI:1336105253
Name:WILLIAMS, WOODROW BYRON (MD)
Entity Type:Individual
Prefix:DR
First Name:WOODROW
Middle Name:BYRON
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 1:3605-C MEETING STREET ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-7717
Mailing Address - Country:US
Mailing Address - Phone:843-744-3500
Mailing Address - Fax:843-744-3938
Practice Address - Street 1:3605 MEETING STREET RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-8095
Practice Address - Country:US
Practice Address - Phone:843-744-3500
Practice Address - Fax:843-744-3938
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5738174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCE01232Medicare ID - Type Unspecified