| Williams Enterprises LLC | |
|
1412 Clarence Ave Walla Walla WA 99362-7246 | |
| (509) 520-9099 | |
| Not Available |
| Full Name | Williams Enterprises LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1412 Clarence Ave, Walla Walla, Washington |
| Authorized Official Name and Position | Shannon Williams (OWNER) |
| Authorized Official Contact | 5095209099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Enterprises LLC 1412 Clarence Ave Walla Walla WA 99362-7246 Ph: (509) 520-9099 | Williams Enterprises LLC 1412 Clarence Ave Walla Walla WA 99362-7246 Ph: (509) 520-9099 |
| NPI Number | 1467312207 |
|---|---|
| Provider Enumeration Date | 11/14/2025 |
| Last Update Date | 11/14/2025 |
| Certification Date | 11/14/2025 |
| Medicare PECOS PAC ID | 7719468479 |
|---|---|
| Medicare Enrollment ID | O20260220003953 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467312207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Shannon Marie Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073903357 PECOS PAC ID: 7810272101 Enrollment ID: I20170329001334 |
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