Healthcare Provider Details

I. General information

NPI: 1376990648
Provider Name (Legal Business Name): DR. SHERRY WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2016
Last Update Date: 05/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W 10TH AVE C150
COLUMBUS OH
43210-1240
US

IV. Provider business mailing address

460 W 10TH AVE C150
COLUMBUS OH
43210-1240
US

V. Phone/Fax

Practice location:
  • Phone: 614-685-7166
  • Fax: 614-366-4232
Mailing address:
  • Phone: 614-685-7166
  • Fax: 614-366-4232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number03234159
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: