Provider Demographics
NPI:1346681392
Name:WILLIAMS, DAVID GEORGE ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GEORGE ANTONIO
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 1:215 WILLIAM PENN PLZ APT 923
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2564
Mailing Address - Country:US
Mailing Address - Phone:646-236-7940
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN ROAD DUMC 3094
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-2012
Practice Address - Country:US
Practice Address - Phone:919-613-8881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-07
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101278790207L00000X
390200000X
NC201701562207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program