Healthcare Provider Details

I. General information

NPI: 1831483502
Provider Name (Legal Business Name): KARA MARI WILLIAMS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2011
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW L209
WASHINGTON DC
20037
US

IV. Provider business mailing address

60 BRANDI DR
SAVANNAH TN
38372-3283
US

V. Phone/Fax

Practice location:
  • Phone: 202-663-1779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA200001688
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: