Healthcare Provider Details

I. General information

NPI: 1083435044
Provider Name (Legal Business Name): AHDAYSIA WILLIAMSON-MCALLISTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 EXECUTIVE BLVD STE 304
NORTH BETHESDA MD
20852-3875
US

IV. Provider business mailing address

402 BIG SAM CIR
LOGANVILLE GA
30052-8010
US

V. Phone/Fax

Practice location:
  • Phone: 301-969-5673
  • Fax: 240-448-7737
Mailing address:
  • Phone: 540-841-6033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: