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NPI Code Detail

MEDICARE: MIKA WILLIAMS

MEDICARE: MIKA WILLIAMS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1811383714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKA WILLIAMS
Provider Business Mailing Address
First Line : 502 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4417
Country : US
Telephone Number : 501-268-3400
Fax Number :
Provider Business Practice Location Address
First Line : 502 E RACE AVE
Second Line :
City : SEARCY
State : AR
Zip : 72143-4417
Country : US
Telephone Number : 501-268-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2015
Last Update Date : 04/08/2015

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Directions to “ MIKA WILLIAMS ” Practice Location

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