Provider Demographics
NPI:1578528766
Name:WILLIAMS, PERRY S (MD)
Entity Type:Individual
Prefix:
First Name:PERRY
Middle Name:S
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 1:700 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2458
Mailing Address - Country:US
Mailing Address - Phone:330-263-7270
Mailing Address - Fax:330-263-7283
Practice Address - Street 1:700 WINTER ST
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2458
Practice Address - Country:US
Practice Address - Phone:330-263-7270
Practice Address - Fax:330-263-7283
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-3846-W207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine