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NPI Code Detail

MEDICARE: ANTHONY WILLIAMS

MEDICARE: ANTHONY WILLIAMS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1316507023
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY WILLIAMS
Provider Business Mailing Address
First Line : 3100 E 45TH ST STE 314
Second Line :
City : CLEVELAND
State : OH
Zip : 44127-1095
Country : US
Telephone Number : 216-441-9622
Fax Number :
Provider Business Practice Location Address
First Line : 2177 MOCK RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1258
Country : US
Telephone Number : 567-312-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2019
Last Update Date : 12/30/2024

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