Provider Demographics
NPI:1588760797
Name:WILLIAMS, ANNIE LOUISE (MD)
Entity type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:LOUISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 W YORK ST STE 805
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2015
Mailing Address - Country:US
Mailing Address - Phone:757-627-5116
Mailing Address - Fax:757-627-0306
Practice Address - Street 1:142 W YORK ST STE 805
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2015
Practice Address - Country:US
Practice Address - Phone:757-627-5116
Practice Address - Fax:757-627-0306
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101034007207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6235735Medicaid
VA097868OtherBC/BS
VA006235735Medicaid
VA55840OtherSENTARA
VA212732OtherCIGNA
VA14363OtherOPTIMA
VA14363OtherOPTIMA
VA212732OtherCIGNA
VA55840OtherSENTARA
VA006235735Medicaid