Ethan Williams

 Novant Health Mothershed Foot Ethan Williams 
 N 
 NOVANT 
 & Ankle Specialist 
 MRN: 54024407, birthdate: 85/10/30, Sex: M 
 HEALTH 
 440 Pineview Drive Ste 400 
 Date of Visit: 17/04/06
 KERNERSVILLE NC 27404- 
 3817 
 21/02/14 - Office Visit in Novant Health Mothershed Foot & Ankle Specialist (Kernersville) (continued) 
 Clinical Notes Amb (continued) 
 Signature Robb A Mothershed, DPM at 20/03/26 1402 
 Order Level Scans 
 Govt Form IM (e-sig) - Electronic signature on 10/20/2022 1508 (effective from 10/20/2022) - E-signed 
 Generated on 4/11/23 8:32 PM 
 Page 224
