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NPI Code Detail

MEDICARE: TAMMY LOUISE WILLIAMSON

MEDICARE: TAMMY LOUISE WILLIAMSON
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
1164W00000XLicensed Practical Nurse84101TN

General Provider Information

NPI Number : 1205794724
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY LOUISE WILLIAMSON
Provider Business Mailing Address
First Line : 201 DOOLEY ST SE
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-6220
Country : US
Telephone Number : 423-728-7020
Fax Number :
Provider Business Practice Location Address
First Line : 201 DOOLEY ST SE
Second Line :
City : CLEVELAND
State : TN
Zip : 37311-6220
Country : US
Telephone Number : 423-728-7020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ TAMMY LOUISE WILLIAMSON ” Practice Location

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