MEDICARE: DR. MICHELLE LYNN WILLIAMS DC

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
1	111N00000X	Chiropractor	S02162	MD

General Provider Information

NPI Number	:	1326146804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE LYNN WILLIAMS DC

Provider Business Mailing Address
First Line	:	3927 BLACKBURN LN APT 24
Second Line	:
City	:	BURTONSVILLE
State	:	MD
Zip	:	20866-1282
Country	:	US
Telephone Number	:	240-390-0038
Fax Number	:	301-439-0383

Provider Business Practice Location Address
First Line	:	7411 RIGGS RD
Second Line	:	SUITE 208
City	:	ADELPHI
State	:	MD
Zip	:	20783-4246
Country	:	US
Telephone Number	:	301-439-0381
Fax Number	:	301-439-0383

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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