Clifton Williams, PA-C
Physician Assistant, Medical in Saint Pauls, NC. Individual provider (NPI-1).
NPI number1285705152
StatusActive
Last updated in NPPESFeb 26, 2024
Details
- NPI
- 1285705152
- Entity type
- Individual (NPI-1)
- Name
- Clifton Williams
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2006
- Certification date
- Jun 7, 2023
- Last updated
- Feb 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 102538 | NC | Yes |
Practice location
128 E Broad StSaint Pauls, NC 28384-1610
Phone 910-241-3042 · Fax 910-241-3462
Mailing address
60 Commerce Plaza CirPembroke, NC 28372-7386
Phone 910-521-2900
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