Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 202002553 | NC |
N | 111NI0900X | Internist | 202002553 | NC |
NPI | 1003356122 |
---|---|
Provider Name | Brooke Williams |
First Address | Charlotte, NC 28260-0447 |
Second Address | Winston Salem, NC 27103-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2017 |
Last Update Date | 26/10/2020 |