Provider Demographics
NPI:1831113935
Name:WILLIAMSON, CILE H (MD)
Entity Type:Individual
Prefix:
First Name:CILE
Middle Name:H
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 REGIONAL CIR STE B
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-9796
Mailing Address - Country:US
Mailing Address - Phone:910-215-0111
Mailing Address - Fax:910-215-0113
Practice Address - Street 1:3 REGIONAL CIR STE B
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-9796
Practice Address - Country:US
Practice Address - Phone:910-215-0111
Practice Address - Fax:910-215-0113
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98-01111207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCG77465Medicare UPIN
NCNCR430D103Medicare PIN