Provider Demographics
NPI:1679545230
Name:WILLIAMS, RICHARD FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:FRANKLIN
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:PO BOX 602120
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2120
Mailing Address - Country:US
Mailing Address - Phone:704-403-1370
Mailing Address - Fax:704-403-1389
Practice Address - Street 1:100 MEDICAL PARK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2948
Practice Address - Country:US
Practice Address - Phone:704-403-1370
Practice Address - Fax:704-403-1389
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36293207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5647554OtherAETNA
NC1247WOtherBCBS NC
NC1679545230Medicaid
NC6517381OtherCIGNA
NC34172OtherPARTNERS
NC891247WMedicaid
NC2064811Medicare PIN
NC34172OtherPARTNERS
NC1679545230Medicaid