Provider Demographics
NPI:1912002502
Name:WILLIAMS, AARON MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1301
Mailing Address - Country:US
Mailing Address - Phone:336-299-3037
Mailing Address - Fax:336-299-3066
Practice Address - Street 1:3831 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1301
Practice Address - Country:US
Practice Address - Phone:336-299-3037
Practice Address - Fax:336-299-3066
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1946780OtherMAIL HANDLERS
KY0007023251OtherAETNA
NC29472OtherPARTNERS MEDICARE CHOICE
NC0834GOtherBLUE CROSS BLUE SHIELD
NC890834GMedicaid
NCU76361Medicare UPIN
NC0834GOtherBLUE CROSS BLUE SHIELD