Williams, Heather Edmonds
Williams, Heather Edmonds is an individual health care provider with primary practice located at 101 S Ravenel St Ste 230 , Florence SC 29506-2624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Heather Edmonds can be contacted via phone (843) 777-7043.Contact Information
Primary practice address
101 S Ravenel St Ste 230
Florence SC 29506-2624
Phone: (843) 777-7043
Fax: (843) 777-7041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1587 | South Carolina |
Profile Details
| NPI number | 1508166745 |
|---|---|
| LBN Legal business name | Williams, Heather Edmonds |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2010 |
| Last updated | Jun 4th, 2024 - about 2 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 | 1508166745 | NPPES |
| South Carolina | MEDICAID | 1082PA | |
| South Carolina | Other | P00911767 | |
| South Carolina | MEDICAID | 8101804 |
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