Provider Demographics
NPI:1588627053
Name:SESSIONS, WILLIE JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIE
Middle Name:JAMES
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:568 RUIN CREEK RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2880
Mailing Address - Country:US
Mailing Address - Phone:252-430-0608
Mailing Address - Fax:252-430-6394
Practice Address - Street 1:568 RUIN CREEK RD
Practice Address - Street 2:SUITE 122
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2880
Practice Address - Country:US
Practice Address - Phone:252-430-0608
Practice Address - Fax:252-430-6394
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC35506207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7975240Medicaid
060035321OtherRAILROAD MEDICARE
NCF06356Medicare UPIN
NC7975240Medicaid