| Corey Williams Pllc | |
|
146 Trinity Creek Dr Holly Springs NC 27540-5465 | |
| (828) 785-9544 | |
| Not Available |
| Full Name | Corey Williams Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 146 Trinity Creek Dr, Holly Springs, North Carolina |
| Authorized Official Name and Position | Corey Caitlyn Williams (CEO/OWNER) |
| Authorized Official Contact | 8287859544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Williams Pllc 146 Trinity Creek Dr Holly Springs NC 27540-5465 Ph: (828) 785-9544 | Corey Williams Pllc 146 Trinity Creek Dr Holly Springs NC 27540-5465 Ph: (828) 785-9544 |
| NPI Number | 1568112290 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 9436598802 |
|---|---|
| Medicare Enrollment ID | O20240417004226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568112290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Corey C Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811410483 PECOS PAC ID: 8022340348 Enrollment ID: I20191105002818 |
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