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NPI Code Detail

MEDICARE: VERNON WILLIAMS, M.D., LLC

MEDICARE: VERNON WILLIAMS, M.D., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35.076195OH

General Provider Information

NPI Number : 1639279722
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERNON WILLIAMS, M.D., LLC
Provider Business Mailing Address
First Line : 1460 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1047
Country : US
Telephone Number : 614-725-1901
Fax Number : 614-725-1904
Provider Business Practice Location Address
First Line : 1460 S HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1047
Country : US
Telephone Number : 614-725-1901
Fax Number : 614-725-1904
Authorized Official
Title or Position : OWNER
Name : DR. VERNON WILLIAMS
Credential : M.D.
Telephone Number : 614-725-1901
Provider Enumeration Date : 09/25/2006
Last Update Date : 04/21/2020

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