Basic Information
Provider Information
NPI: 1336177377
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WILLIAMS
FirstName: DENISE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 19 PINE ISLAND RD
Address2:  
City: HILTON HEAD
State: SC
PostalCode: 299287104
CountryCode: US
TelephoneNumber: 9149537328
FaxNumber:  
Practice Location
Address1: 40 OKATIE CENTER BLVD S
Address2:  
City: OKATIE
State: SC
PostalCode: 299097507
CountryCode: US
TelephoneNumber: 8437058888
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2006
LastUpdateDate: 03/24/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X187153NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X30349SCY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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