Provider Demographics
NPI:1174584932
Name:WILLIAMS, ROBERT C (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:256 10TH AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3882
Mailing Address - Country:US
Mailing Address - Phone:828-322-2183
Mailing Address - Fax:828-485-4550
Practice Address - Street 1:304 10TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3883
Practice Address - Country:US
Practice Address - Phone:828-322-2183
Practice Address - Fax:828-485-4550
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC22535207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7987930Medicaid
NC7987930Medicaid
NC211587AMedicare ID - Type Unspecified