NPI 1225655897

Omar S Williams

Practitioner Driver Greenville, NC

Practice location

Address: 212 Academy Dr, Greenville, NC 27834-8775
Phone: (919) 870-1272
Mailing address: 9650 Strickland Rd STE 103-142, Raleigh, NC 27615-1902

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 8230102 (NC)

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Registry record

NPI: 1225655897
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2020
Record last updated: 30 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.