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NPI Code Detail

MEDICARE: TUWANDA C WILLIAMSON MD

MEDICARE:   TUWANDA C 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
1207Q00000XFamily Medicine Physician036112364IL
2207Q00000XFamily Medicine Physician91829GA

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 : 1629018528
Entity Type Code : Individual
Provider Name (Legal Business Name) : TUWANDA C WILLIAMSON MD
Provider Business Mailing Address
First Line : PO BOX 740015
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0015
Country : US
Telephone Number : 312-733-9730
Fax Number : 773-866-8014
Provider Business Practice Location Address
First Line : 10688 LORAIN AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44111-5411
Country : US
Telephone Number : 216-682-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/24/2025

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Directions to “ TUWANDA C WILLIAMSON MD” Practice Location

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