Healthcare Provider Details

I. General information

NPI: 1043852544
Provider Name (Legal Business Name): CHRISTY BROOKE WILLIAMSON DCN, CNS, LDN, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2019
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3548 TIMBERVIEW RD
POWHATAN VA
23139-4200
US

IV. Provider business mailing address

3548 TIMBERVIEW RD
POWHATAN VA
23139-4200
US

V. Phone/Fax

Practice location:
  • Phone: 804-337-9820
  • Fax:
Mailing address:
  • Phone: 804-337-9820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number17227
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: