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Physician Compare National (NPI:1396828166)

HEALTHCARE PROVIDER: HEATHER CLANCY WILLIAMSON O.T.R., C.H.T.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1396828166
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0648349316
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20151001001648
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WILLIAMSON
Individual professional last name
Provider First Name HEATHER
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty OCCUPATIONAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1960 RIVERSIDE PKWY
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 104
Group Practice or individual's line 2 address
City LAWRENCEVILLE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 300435945
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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