Individual provider · Type 1 NPI

Marietta Williams, DO

Military Health Care Provider · Portsmouth, VA

NPI number 1124816939 Active

Practice location

620 Jhn Paul Jns Cir
Portsmouth, VA 23708-2111

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1124816939

Marietta Williams, DO's National Provider Identifier is 1124816939, issued on Apr 30, 2025. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Portsmouth, VA. The record was last updated on Apr 30, 2025.