Provider Demographics
NPI:1144254269
Name:WILLIAMS, ROBERT DONALD (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:DONALD
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 1:1573 HIGHLANDS RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28734-3502
Mailing Address - Country:US
Mailing Address - Phone:828-369-3700
Mailing Address - Fax:828-369-3760
Practice Address - Street 1:1573 HIGHLANDS RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-3502
Practice Address - Country:US
Practice Address - Phone:828-369-3700
Practice Address - Fax:828-369-3760
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200300302207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC134CCOtherBCBS
NC89134CCMedicaid
NCP00297881OtherRR MEDICARE
D61839Medicare UPIN
NC2018151Medicare ID - Type Unspecified