| Dr Bobbili Victor Williams, MD | |
|
501 S Poplar St, Elizabethtown, NC 28337 | |
| (910) 862-5100 | |
| Not Available |
| Full Name | Dr Bobbili Victor Williams |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 501 S Poplar St, Elizabethtown, 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 |
|---|---|---|---|
| 1861506412 | NPI | - | NPPES |
| 20881 | Other | SC | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20881 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 2007-01617 (North Carolina) | Primary |
| Entity Name | Bladen Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558537282 PECOS PAC ID: 6800967969 Enrollment ID: O20080617000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bobbili Victor Williams, MD Po Box 896261, Charlotte, NC 28289-6261 Ph: () - | Dr Bobbili Victor Williams, MD 501 S Poplar St, Elizabethtown, NC 28337 Ph: (910) 862-5100 |
Dr. Jose Gerardo Vergara, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300a E Mckay St, Elizabethtown, NC 28337 Phone: 910-862-5500 Fax: 910-862-5501 | |
Dr. Pearly Berlette Graham-hoskins, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 300a East Mckay Street, Elizabethtown, NC 28337 Phone: 910-862-5500 Fax: 910-862-2107 | |
Dr. Sidrah Ghaffar, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 S Poplar St, Elizabethtown, NC 28337 Phone: 910-862-5100 |