Provider Demographics
NPI:1467451815
Name:DREW, WILLIAM E (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:DREW
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 1:101B ELDON PARKS DR
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621-2455
Mailing Address - Country:US
Mailing Address - Phone:336-835-2038
Mailing Address - Fax:336-835-4221
Practice Address - Street 1:101B ELDON PARKS DR
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2455
Practice Address - Country:US
Practice Address - Phone:336-835-2038
Practice Address - Fax:336-835-4221
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-19
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40083174400000X
NC2007-001462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5906343Medicaid
NC2065764Medicare PIN
OHE02270Medicare UPIN