Provider Demographics
NPI:1821279894
Name:PAUL W WILLIAMS
Entity Type:Organization
Organization Name:PAUL W WILLIAMS
Other - Org Name:WILLIAMS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:W
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-712-1000
Mailing Address - Street 1:2850 MIDDLEBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-8796
Mailing Address - Country:US
Mailing Address - Phone:336-712-1000
Mailing Address - Fax:336-712-1044
Practice Address - Street 1:2850 MIDDLEBROOK DR
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-8796
Practice Address - Country:US
Practice Address - Phone:336-712-1000
Practice Address - Fax:336-712-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2449168Medicare PIN