Provider Demographics
NPI:1942838420
Name:WILLIAMS, ABIGAIL JUNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ABIGAIL
Middle Name:JUNE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ABIGAIL
Other - Middle Name:JUNE
Other - Last Name:GRAWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11844 SMOKE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-1634
Mailing Address - Country:US
Mailing Address - Phone:217-257-9111
Mailing Address - Fax:
Practice Address - Street 1:112 PIPER HILL DR STE 9
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1690
Practice Address - Country:US
Practice Address - Phone:636-229-4239
Practice Address - Fax:636-441-9832
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant