Provider Demographics
NPI:1598838815
Name:WILLIAMS CHIROPRACTIC AND DECOMPRESSION CENTER, P.C.
Entity Type:Organization
Organization Name:WILLIAMS CHIROPRACTIC AND DECOMPRESSION CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-299-3037
Mailing Address - Street 1:3831 W. MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1301
Mailing Address - Country:US
Mailing Address - Phone:336-299-3037
Mailing Address - Fax:336-299-3066
Practice Address - Street 1:3831 W. MARKET ST.
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1301
Practice Address - Country:US
Practice Address - Phone:336-299-3037
Practice Address - Fax:336-299-3066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890834GMedicaid
NC890834GMedicaid
NC2454797Medicare PIN