Williams, Dennis Demetrius
Williams, Dennis Demetrius is an sole proprietor health care provider with primary practice located at 1179 Madison Green Dr , Fort Mill SC 29715. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Williams, Dennis Demetrius can be contacted via phone (864) 525-8821.Contact Information
Primary practice address
1179 Madison Green Dr
Fort Mill SC 29715
Phone: (864) 525-8821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0604 | North Carolina |
Profile Details
| NPI number | 1841728755 |
|---|---|
| LBN Legal business name | Williams, Dennis Demetrius |
| Credentials | MA,ATC,LAT,PES,CES |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2017 |
| Last updated | Jul 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841728755 | NPPES |
| North Carolina | Other | 207PS0010X | SPORTS MEDICINE |
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