Provider Demographics
NPI:1720072440
Name:DEANS, WILLIAM R (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:DEANS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 7200
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0200
Mailing Address - Country:US
Mailing Address - Phone:252-937-0200
Mailing Address - Fax:252-451-0056
Practice Address - Street 1:901 N WINSTEAD AVE
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-8467
Practice Address - Country:US
Practice Address - Phone:252-937-0289
Practice Address - Fax:252-937-3114
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251272084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4645270OtherCIGNA HEALTHCARE
NC5342173OtherAETNA
NC130010983OtherRAILROAD MEDICARE
NC27978OtherBCBSNC
NC8927978Medicaid
NC22874OtherMEDCOST
NC241714OtherUNITED HEALTH CARE