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NPI Code Detail

MEDICARE: DR. KAMILAH MARIE WILLIAMS M.D.

MEDICARE:  DR. KAMILAH MARIE WILLIAMS  M.D.
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 Physician35088005OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558473116
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMILAH MARIE WILLIAMS M.D.
Provider Business Mailing Address
First Line : 5450 FRANTZ RD
Second Line : STE 250
City : DUBLIN
State : OH
Zip : 43016-4134
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7340 E BROAD ST
Second Line : STE B
City : BLACKLICK
State : OH
Zip : 43004-9625
Country : US
Telephone Number : 614-864-8000
Fax Number : 614-864-3036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 09/20/2012

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Directions to “ DR. KAMILAH MARIE WILLIAMS M.D.” Practice Location

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