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NPI Code Detail

MEDICARE: DR. TIMOTHY R WILLIAMS MD

MEDICARE: DR. TIMOTHY R WILLIAMS MD
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
1207RC0000XCardiovascular Disease Physician0101241677VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00417608OTHERVARAILROAD MEDICARE
4C10061OTHERVAMEDICARE GROUP PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3655497OTHERVASOUTHERN HEALTH
5305034OTHERVAANTHEM

General Provider Information

NPI Number : 1275625576
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY R WILLIAMS MD
Provider Business Mailing Address
First Line : 650 PETER JEFFERSON PKWY STE 100
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22911-8844
Country : US
Telephone Number : 434-293-4072
Fax Number : 434-293-4265
Provider Business Practice Location Address
First Line : 650 PETER JEFFERSON PKWY
Second Line : STE 100
City : CHARLOTTESVILLE
State : VA
Zip : 22911-8844
Country : US
Telephone Number : 434-293-4072
Fax Number : 434-293-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 12/18/2025

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Directions to “ DR. TIMOTHY R WILLIAMS MD” Practice Location

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