Mr James Thomas Williams, CRNA | |
200 Gamble Dr, Lincolnton, NC 28092-4421 | |
(704) 735-3071 | |
(704) 735-0584 |
Full Name | Mr James Thomas Williams |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 Gamble Dr, Lincolnton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629012026 | NPI | - | NPPES |
8000175 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 114632 (North Carolina) | Primary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
Mailing Address | Practice Location Address |
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Mr James Thomas Williams, CRNA P.o. Box 677, Lincolnton, NC 28093 Ph: (704) 735-3071 | Mr James Thomas Williams, CRNA 200 Gamble Dr, Lincolnton, NC 28092-4421 Ph: (704) 735-3071 |
Ms. Beverly C Collins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Gamble Dr, Lincolnton, NC 28092 Phone: 704-735-3071 Fax: 704-735-0584 | |
Mr. Jimmy L Bramlett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Gamble Dr, Lincolnton, NC 28092 Phone: 704-735-3071 Fax: 704-735-0584 | |
Mrs. Catherine M Mcneilly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Gamble Dr, Lincolnton, NC 28092 Phone: 704-735-3071 Fax: 704-735-0584 | |
Joyclyn Thompson Rusk, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 433 Mcalister Rd, Lincolnton, NC 28092 Phone: 980-212-2000 | |
Stephanie Vance Mason, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Mcalister Rd, Cmc Lincoln, Lincolnton, NC 28092 Phone: 980-212-2000 | |
Debbie June Hackler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 433 Mcalister Rd, Lincolnton, NC 28092 Phone: 980-212-2000 | |
Mr. Sidney A Martin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Gamble Dr, Lincolnton, NC 28092 Phone: 704-735-3071 Fax: 704-735-0584 |