Healthcare Provider Details

I. General information

NPI: 1699703322
Provider Name (Legal Business Name): LLOYDA WILLIAMSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 02/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 DR DB TODD JR BLVD
NASHVILLE TN
37208-3501
US

IV. Provider business mailing address

1005 DR DB TODD JR BLVD
NASHVILLE TN
37208-3501
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-5572
  • Fax: 615-327-5555
Mailing address:
  • Phone: 615-327-5572
  • Fax: 615-327-5555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number54780
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: