Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 01082032A | IN |
N | 2086S0120X | Pediatric Surgery | D0053376 | MD |
Y | 2086S0120X | Pediatric Surgery | G80966 | CA |
NPI | 1346256567 |
---|---|
Provider Name | Dr. Holly Lynn Williams |
First Address | Emeryville, CA 94608-1726 |
Second Address | Fresno, CA 93710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 02/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015123800 | (05) | MD |
27-0271872 | (05) | CA |
H21427 | (02) | MD |