Provider Demographics
NPI:1972716462
Name:WILLIAMS, MICHAEL D (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:D
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 ALLIANCE CT
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-2248
Mailing Address - Country:US
Mailing Address - Phone:828-670-6812
Mailing Address - Fax:828-670-5703
Practice Address - Street 1:750 ALLIANCE CT
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-2248
Practice Address - Country:US
Practice Address - Phone:828-670-6812
Practice Address - Fax:828-670-5703
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-00312207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8520439Medicaid
WA8520439Medicaid
WA8906872Medicare PIN
WA8874376Medicare PIN
WA8880263Medicare PIN