Derek A. Williams DO
Adult Congenital Heart Disease Physician in Charlotte, NC(View on Map)
Full Name
Derek Adam Williams DO
NPI Number
1568577633
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/20/2006
Specialties
(Taxonomies)Code
207RA0002X
2080P0202X
208000000X
Primary Taxonomy
Yes
No
No
Licenses
State
North Carolina
License Number
2006-01306
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 19305
1001 BLYTHE BLVD
City
Charlotte
Charlotte
State
NC
NC
Postal Code
28219-9305
28203-5866
Country
US
US
Telephone Number
N/A
(704) 373-1813
Health Information Exchange
Endpoint Type
CONNECT
DIRECT
Endpoint
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
dwilliams2754336@CarolinasHealthcareSystem.direct-ci.com
Endpoint Description
2.16.840.1.113883.3.667.2
Unknown
Use
Other
Unknown
Content Type
Unknown
Unknown
Affiliation
Y
Y
Endpoint Location
ABILITY Network100 N 6th St Ste 900AMinneapolis, MN554031516US
Atrium Health1001 Blythe BlvdSte 500Charlotte, NC282035866US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/15/2024
Provider Address
Other Adult Congenital Heart Disease Physicians in Charlotte, North Carolina:
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Matthew Schwartz MD
Charlotte, NCSpecialties: Pediatric Cardiology Physician (Primary)Adult Congenital Heart Disease PhysicianInternal Medicine Physician