Healthcare Provider Details

I. General information

NPI: 1285683664
Provider Name (Legal Business Name): HUGH HERMES WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 S CLAYBROOK ST SUITE 314
MEMPHIS TN
38104-3527
US

IV. Provider business mailing address

220 S CLAYBROOK ST SUITE 314
MEMPHIS TN
38104-3527
US

V. Phone/Fax

Practice location:
  • Phone: 901-276-6277
  • Fax: 901-276-6220
Mailing address:
  • Phone: 901-276-6277
  • Fax: 901-276-6220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMD012799
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: