Provider Demographics
NPI:1881357754
Name:PINSON, WILLIAM BRANTLEY
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRANTLEY
Last Name:PINSON
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 1:2033 CHERRYTREE LN
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-8019
Mailing Address - Country:US
Mailing Address - Phone:919-605-8800
Mailing Address - Fax:
Practice Address - Street 1:104 EDGEPINE DR
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9453
Practice Address - Country:US
Practice Address - Phone:919-605-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-18
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant