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NPI Code Detail

MEDICARE: DR. SAUNDRA ANNETTE WILLIAMS MD

MEDICARE: DR. SAUNDRA ANNETTE WILLIAMS MD
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
1207R00000XInternal Medicine Physician19023TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14241776OTHERTNBCBS - TENNESSEE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780627240
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAUNDRA ANNETTE WILLIAMS MD
Provider Business Mailing Address
First Line : 1508 TOMBRAS AVE
Second Line :
City : EAST RIDGE
State : TN
Zip : 37412-2720
Country : US
Telephone Number : 423-867-4969
Fax Number : 423-867-4971
Provider Business Practice Location Address
First Line : 1508 TOMBRAS AVE
Second Line :
City : EAST RIDGE
State : TN
Zip : 37412-2720
Country : US
Telephone Number : 423-867-4969
Fax Number : 423-867-4971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 04/30/2015

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