Physician Compare National (NPI:1619003746)

HEALTHCARE PROVIDER: STANFORD ANTHONY WILLIAMSON DO

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

Individual Professional Information
NPI	1619003746
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547343147
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20121005000479
	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	STANFORD
	Individual professional first name
Provider Middle Name	ANTHONY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL MEDICINE AND REHABILITATION
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERVENTIONAL PAIN MANAGEMENT
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	PAIN MANAGEMENT
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	507 W 3RD AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 8A
	Group Practice or individual's line 2 address
City	ALBANY
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	317011945
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y