Provider Demographics
NPI:1043290794
Name:NTIM, WILLIAM OFORI (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:OFORI
Last Name:NTIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-343-9800
Mailing Address - Fax:704-347-2011
Practice Address - Street 1:125 QUEENS RD STE 200
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-3578
Practice Address - Country:US
Practice Address - Phone:704-343-9800
Practice Address - Fax:704-347-2011
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2005-01668207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1402HOtherBCBS
NC806728OtherPARTNERS
VA10221374Medicaid
SCQ68005Medicaid
WV3810004047Medicaid
NC5902241Medicaid
7795490OtherAETNA
NC184320OtherMEDCOST
7795490OtherAETNA
NC806728OtherPARTNERS
P00301637Medicare PIN