Provider Demographics
NPI:1609473131
Name:LAWS, WILLIAM (PBT)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:LAWS
Suffix:
Gender:M
Credentials:PBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2422 MONTICELLO DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-6567
Mailing Address - Country:US
Mailing Address - Phone:919-412-6013
Mailing Address - Fax:
Practice Address - Street 1:1225 S CHURCH ST STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-4197
Practice Address - Country:US
Practice Address - Phone:919-412-6013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy