Bonita L Williams
Individual provider Active NPI Driver · Easley, SC
NPI 1467150425 · NPPES record last updated Feb 20, 2023
Key facts
- NPI
- 1467150425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 208 Sonora Dr
Easley, SC 29640-9316 - Phone
- (864) 918-9637
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
208 Sonora Dr
Easley, SC 29640-9316
Mailing address
PO Box 14565
Greenville, SC 29610-4565
Phone (864) 918-9637
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.