Provider Demographics
NPI:1366409914
Name:WILLIAMS, BARRY NEIL (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:NEIL
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3407 CARVER SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-4756
Mailing Address - Country:US
Mailing Address - Phone:336-724-1529
Mailing Address - Fax:
Practice Address - Street 1:3000 BETHESDA PL
Practice Address - Street 2:SUITE 801 AND 802
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3331
Practice Address - Country:US
Practice Address - Phone:336-659-9141
Practice Address - Fax:336-659-1456
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC288202084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC87702OtherBCBSNC
NC8987702Medicaid
NC8987702Medicaid
NC87702OtherBCBSNC