| Kristen Williamson Pllc | |
|
1213 Culbreth Dr Wilmington NC 28405-3639 | |
| (910) 352-6221 | |
| Not Available |
| Full Name | Kristen Williamson Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1213 Culbreth Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Kristen Trutt Williamson (OWNER) |
| Authorized Official Contact | 9103526221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Williamson Pllc 4213 Edward Hyde Pl Wilmington NC 28405-8838 Ph: (910) 352-6221 | Kristen Williamson Pllc 1213 Culbreth Dr Wilmington NC 28405-3639 Ph: (910) 352-6221 |
| NPI Number | 1669290615 |
|---|---|
| Provider Enumeration Date | 09/30/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 9638600968 |
|---|---|
| Medicare Enrollment ID | O20240927000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669290615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristen Trutt Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528367984 PECOS PAC ID: 6800052705 Enrollment ID: I20120720000550 |
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