Provider Demographics
NPI:1053106732
Name:WILLIAMS, SABRINA T
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:T
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:T
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 AVINGTON LN NE
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-9539
Mailing Address - Country:US
Mailing Address - Phone:910-833-0408
Mailing Address - Fax:
Practice Address - Street 1:4701 WRIGHTSVILLE AVE UNIT 211
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6912
Practice Address - Country:US
Practice Address - Phone:910-833-0408
Practice Address - Fax:910-782-0824
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide