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1396721718

NPI Code Detail

MEDICARE: DR. YASMIN HEATER WILLIAMSON MD

MEDICARE: DR. YASMIN HEATER WILLIAMSON 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
1	207R00000X	Internal Medicine Physician	200000226	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P01285588	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	17710	OTHER	NC	BLUE CROSS BLUE SHIELD
2	5819635	OTHER	NC	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396721718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASMIN HEATER WILLIAMSON MD

Provider Business Mailing Address
First Line	:	804 ENGLISH RD STE 100
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-6027
Country	:	US
Telephone Number	:	252-443-3133
Fax Number	:	252-443-6726

Provider Business Practice Location Address
First Line	:	804 ENGLISH RD STE 100
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-6027
Country	:	US
Telephone Number	:	252-443-3133
Fax Number	:	252-443-6726

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

Provider Enumeration Date	:	12/17/2005
Last Update Date	:	03/18/2024

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Directions to “ DR. YASMIN HEATER WILLIAMSON MD” Practice Location

Language	Start Address	Practice Location

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