Provider Demographics
NPI:1437348745
Name:WILLIAMS, ENOCH WALDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ENOCH
Middle Name:WALDEN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3817 S CULBERHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-9067
Mailing Address - Country:US
Mailing Address - Phone:870-935-4886
Mailing Address - Fax:870-933-6334
Practice Address - Street 1:3817 S CULBERHOUSE RD
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72404-9067
Practice Address - Country:US
Practice Address - Phone:870-935-4886
Practice Address - Fax:870-933-6334
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR-2048208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology