Provider Demographics
NPI:1699543538
Name:SEXTON, WILLIAM CHARLIE
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHARLIE
Last Name:SEXTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3857 DUNHAGAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-6663
Mailing Address - Country:US
Mailing Address - Phone:919-260-0348
Mailing Address - Fax:
Practice Address - Street 1:913 E ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5864
Practice Address - Country:US
Practice Address - Phone:252-999-8559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician