Healthcare Provider Details

I. General information

NPI: 1164828869
Provider Name (Legal Business Name): PATRICK A WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2014
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 GUNBARREL RD STE 100
CHATTANOOGA TN
37421-3126
US

IV. Provider business mailing address

PO BOX 440261
NASHVILLE TN
37244-0261
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-8525
  • Fax: 423-778-8526
Mailing address:
  • Phone: 615-329-0570
  • Fax: 615-329-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number60122
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: