Provider Demographics
NPI:1609821271
Name:WILLIAMS, HEIDI D (MD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:887 JOHNNIE DODDS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3164
Mailing Address - Country:US
Mailing Address - Phone:843-375-0270
Mailing Address - Fax:843-300-1258
Practice Address - Street 1:887 JOHNNIE DODDS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3164
Practice Address - Country:US
Practice Address - Phone:843-375-0270
Practice Address - Fax:843-300-1258
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2022-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SCSC23012208200000X
SC23012208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC230128Medicaid
SC230128Medicaid