Provider Demographics
NPI:1730104050
Name:WILLIAMS, WILLIAM L III (PA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:PA
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Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:WING EMERGENCY SERVICES PC
Mailing Address - City:JEFFERSON
Mailing Address - State:MA
Mailing Address - Zip Code:01522
Mailing Address - Country:US
Mailing Address - Phone:413-289-5000
Mailing Address - Fax:978-466-2993
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:WING EMERGENCY SERVICES PC
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069
Practice Address - Country:US
Practice Address - Phone:413-284-5308
Practice Address - Fax:413-284-5413
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2014-03-11
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Provider Licenses
StateLicense IDTaxonomies
MAPA2599363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKR10982Medicare UPIN