Provider Demographics
NPI:1902923709
Name:WILLIAMS, KRISTI RAE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:RAE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 994
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690
Mailing Address - Country:US
Mailing Address - Phone:864-609-4440
Mailing Address - Fax:855-536-3471
Practice Address - Street 1:2401 POINSETT HWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-2456
Practice Address - Country:US
Practice Address - Phone:864-609-4440
Practice Address - Fax:855-536-3471
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC948207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine