Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 5174 | NV |
N | 208600000X | Surgeon | 5174 | NV |
Y | 2082S0105X | Plastic Hand Surgeon | 5174 | NV |
N | 208200000X | Surgeon | 5174 | NV |
N | 208600000X | Surgeon | 5174 | NV |
NPI | 1194734244 |
---|---|
Provider Name | Carl N Williams JR. |
First Address | Las Vegas, NV 89106-4145 |
Second Address | Las Vegas, NV 89106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 21/05/2019 |