Organization · NPI-2

Bernard M. Williams, MD

Clinic/Center, Adult Mental Health · Charlottesville, VA

NPI number1801338579
StatusActive
Last updated in NPPESNov 13, 2016

Details

NPI
1801338579
Entity type
Organization (NPI-2)
Legal business name
Bernard M. Williams, MD
Organization subpart
No
Enumeration date
Nov 13, 2016
Last updated
Nov 13, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health0101017020VAYes

Practice location

560 Loblolly Ln
Charlottesville, VA 22903-7655

Phone 434-296-4564

Mailing address

560 Loblolly Ln
Charlottesville, VA 22903-7655

Phone 434-296-4564

Authorized official

Bernard Moore Williams
Physician
4342964564

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