MR. OTHEA C, WILLIAMS IDC
NPI 1659638773
Military Health Care Provider - Independent Duty Corpsman in Jacksonville, NC

Q: What is Othea Williams's NPI number?

The NPI number for Othea Williams is 1659638773. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Q: What is Othea Williams's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Othea Williams was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2012

285 BROOKSTONE WAY, JACKSONVILLE, NC 28546(910) 451-4041 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Othea C, Williams Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. OTHEA C, WILLIAMS IDC (NPI 1659638773) is an individual independent duty corpsman provider in Jacksonville, North Carolina and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1659638773

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. OTHEA C, WILLIAMSCredential: IDC

Location Address285 BROOKSTONE WAYJacksonville, NC 28546-9538

Mailing Address285 Brookstone WayJacksonville, NC 28546-9538 · (910) 451-4041

Phone(910) 451-4041

Sole ProprietorNo

Enumeration DateApril 13, 2012

✔ NPI 1659638773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

285 BROOKSTONE WAY, Jacksonville, NC 28546

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Othea Williams's NPI number?

The NPI number for Othea Williams is 1659638773. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Othea Williams located?

Othea Williams practices at 285 Brookstone Way, Jacksonville, NC 28546. The listed phone number is (910) 451-4041.

What is Othea Williams's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Othea Williams was last updated on April 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.