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Contact Information

FRED A WILLIAMS JR, MD
2500 HOSPITAL DRIVE
MARTINSBURG, WV25401
 Phone: 304-264-1000
 Fax: 304-264-1374
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for FRED A WILLIAMS JR · (Male)

NPI Number 1750380671
Status Active
Credentials MD
Entity Individual
Enumeration date 07/21/2005
Last updated 11/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 12261
  • VA Medicaid 6021417
  • WV Medicaid 0049881000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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