Provider Demographics
NPI:1669261871
Name:WILLIAMS, CHRISTOPHER TERRILL
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:TERRILL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 PINE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2682
Mailing Address - Country:US
Mailing Address - Phone:252-432-7012
Mailing Address - Fax:252-438-2954
Practice Address - Street 1:105 PINE FOREST DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2682
Practice Address - Country:US
Practice Address - Phone:252-432-7012
Practice Address - Fax:252-438-2954
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8110838347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle