Luther Rawls Williams Jr., M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

10157 Issued in SC

Practice address

4573 Oleander Dr
Myrtle Beach, SC 29577-5755

Phone

(843) 449-9140

Fax

(843) 497-5110

NPI assigned

Jun 9, 2005

Last updated

Oct 10, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Strand Dermatology

  • Dermatology Physician
  • Myrtle Beach, SC
  • NPI 1033160213
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1497759278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4573 OLEANDER DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775755",
            "telephone_number": "843-449-9140",
            "fax_number": "843-497-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4573 OLEANDER DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775755",
            "telephone_number": "843-449-9140",
            "fax_number": "843-497-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LUTHER",
        "middle_name": "RAWLS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "10157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101570",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Ann Williams, PH.D.
• David M Williams III, MD
• Ericka Haselden Williams, FNP-C
• Jimmie Williams, RN
• Keeland Williams, MD
• Mary Alyce Williams, MS, CCC, SLP
• Michael Charles Williams, RD
• Michele Williams, OTR/L
• Robert Neal Williams Jr., O.D.
• Roddy Williams

• Dermatology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.