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NPI Code Detail

MEDICARE: ALLISON NICHELLE WILLIAMS MD

MEDICARE:   ALLISON NICHELLE 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
1207Q00000XFamily Medicine PhysicianD0061041MD

General Provider Information

NPI Number : 1477545077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON NICHELLE WILLIAMS MD
Provider Business Mailing Address
First Line : 1684 VILLAGE GRN LOWR LEVEL
Second Line :
City : CROFTON
State : MD
Zip : 21114-2059
Country : US
Telephone Number : 410-721-3822
Fax Number : 410-451-0960
Provider Business Practice Location Address
First Line : 1684 VILLAGE GRN LOWR LEVEL
Second Line :
City : CROFTON
State : MD
Zip : 21114-2061
Country : US
Telephone Number : 410-721-3822
Fax Number : 410-451-0960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 04/29/2019

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Directions to “ ALLISON NICHELLE WILLIAMS MD” Practice Location

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