| Leslie B. Williams Md Plc | |
|
2616 Sherwood Hall Lane Ste 407 Alexandria VA 22306 | |
| (703) 799-2113 | |
| (703) 799-2118 |
| Full Name | Leslie B. Williams Md Plc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2616 Sherwood Hall Lane, Alexandria, Virginia |
| Authorized Official Name and Position | Leslie B. Williams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7037992113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie B. Williams Md Plc 4660 Kenmore Ave Ste 408 Alexandria VA 22304 Ph: (703) 751-3500 | Leslie B. Williams Md Plc 2616 Sherwood Hall Lane Ste 407 Alexandria VA 22306 Ph: (703) 799-2113 |
| NPI Number | 1356623607 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356623607 | NPI | - | NPPES |
| 007112670 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0101038230 (Virginia) | Primary |
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