Individual ProviderMollie WilliamsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address370 S Pike W, Sumter, SC 29150-2664(803) 774-4500PECOS EnrollmentBased on the most recent information from CMS, provider Mollie Williams is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1851914352Provider TypeIndividualFull NameWilliams, MollieCredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date5/19/2020Last Updated5/19/2020Contact InformationPractice LocationPractice Address370 S Pike W, Sumter, SC 29150-2664Phone(803) 774-4500Fax(803) 774-4627Mailing LocationMailing Address370 S Pike W, Sumter, SC 29150-2664Phone(803) 774-4500Fax(803) 774-4627Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense23585South Carolina