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NPI Code Detail

MEDICARE: WILLIAMSON WELLNESS

MEDICARE: WILLIAMSON WELLNESS
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
1261QH0100XHealth Service Clinic/Center17177TN

General Provider Information

NPI Number : 1619207024
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMSON WELLNESS
Provider Business Mailing Address
First Line : 377 RIVERSIDE DR STE 310
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-472-8565
Fax Number :
Provider Business Practice Location Address
First Line : 377 RIVERSIDE DR STE 310
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-5393
Country : US
Telephone Number : 615-472-8565
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MR. ANGELIQUE HOPPER
Credential :
Telephone Number : 615-472-8565
Provider Enumeration Date : 01/07/2010
Last Update Date : 12/17/2012

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Directions to “WILLIAMSON WELLNESS ” Practice Location

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