Healthcare Provider Details

I. General information

NPI: 1073782108
Provider Name (Legal Business Name): ABBY MARIE WILLIAMS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 06/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

PEMA P.O BOX 422002
ATLANTA GA
30342-9002
US

V. Phone/Fax

Practice location:
  • Phone: 615-936-3898
  • Fax: 615-322-4374
Mailing address:
  • Phone: 678-344-1960
  • Fax: 678-585-1976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD0000044966
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number071303
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: