Provider Demographics
NPI:1861714909
Name:WILLIAMS, RYAN V (DC)
Entity type:Individual
Prefix:
First Name:RYAN
Middle Name:V
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
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 209
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:SC
Mailing Address - Zip Code:29325-0209
Mailing Address - Country:US
Mailing Address - Phone:864-547-2250
Mailing Address - Fax:
Practice Address - Street 1:209 MUSGROVE ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-2347
Practice Address - Country:US
Practice Address - Phone:864-547-2250
Practice Address - Fax:864-547-2250
Is Sole Proprietor?:No
Enumeration Date:2010-02-16
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor