Cornelius Williams
Community/Behavioral Health in Henderson, NC. Individual provider (NPI-1).
NPI number1124587720
StatusActive
Last updated in NPPESMar 15, 2019
Details
- NPI
- 1124587720
- Entity type
- Individual (NPI-1)
- Name
- Cornelius Williams
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 14, 2019
- Last updated
- Mar 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | MHL-091-110 | NC | Yes |
Practice location
121 Young StHenderson, NC 27536-4248
Phone 252-598-1008
Mailing address
Po Box 2002Henderson, NC 27536-2002
Phone 252-204-1381
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