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General NPI Number Information
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NPI Number | 1740247261
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Entity Type | Organization
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Legal Business Name | KEITH A. WILLIAMSON, MD, LLC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1202 ASHLAND HIGHWAY
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City | TALLADEGA
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State | AL
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Zip | 35160
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Country | US
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Telephone | 256-761-2447
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Fax | 256-362-4942
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Provider Business Mailing Address
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Address Line | PO BOX 661495
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City | BIRMINGHAM
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State | AL
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Zip | 35266-1495
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Country | US
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Telephone | 205-979-5882
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Fax | 205-979-1248
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Authorized Official
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Title or Position | OWNER
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Name | KEITH A. WILLIAMSON
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Credential | M.D
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Telephone | 256-761-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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