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General NPI Number Information
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NPI Number | 1730158833
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Entity Type | Individual
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Provider Name | RICHARD L WILLIAMS MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 2525 W UNIVERSITY AVE
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City | MUNCIE
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State | IN
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Zip | 47303-3421
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Country | US
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Telephone | 765-289-5408
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 400
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City | JACKSON
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State | TN
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Zip | 38302-0400
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Country | US
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Telephone | 731-423-8697
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Fax | 731-422-5743
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD06599
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License Number State | TN
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