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NPI Code Detail

MEDICARE: DR. ALLANDA WILLIAMS DO

MEDICARE: DR. ALLANDA WILLIAMS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOS021777PA
2207Q00000XFamily Medicine Physician25MB11503500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134780448
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLANDA WILLIAMS DO
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number : 888-987-1151
Fax Number :
Provider Business Practice Location Address
First Line : 2131 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-1105
Country : US
Telephone Number : 215-623-2012
Fax Number : 888-355-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2019
Last Update Date : 06/09/2026

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