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Contact Information

WILLIAMS PRIMARY CARE PC
71 HOLLOWCREST DRIVE
SUITE 3
TUNKHANNOCK, PA18657
 Phone: 570-836-4705
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAMS PRIMARY CARE PC

NPI # 1104981018
LBN Legal business name WILLIAMS PRIMARY CARE PC
Authorized official DANIEL WILLIAMS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2006
Last updated 10/15/2008 - About 18 years ago
Identifiers
PA License # MD420614
PA Medicaid 001972184
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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