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NPI Code Detail

MEDICARE: DR. ALEXA RICHTMYER WILLIAMSON D.M.D.

MEDICARE: DR. ALEXA RICHTMYER WILLIAMSON D.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
11223G0001XGeneral Practice DentistryDGD 8756SC

General Provider Information

NPI Number : 1760835508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXA RICHTMYER WILLIAMSON D.M.D.
Provider Business Mailing Address
First Line : 6035 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-5018
Country : US
Telephone Number : 843-572-9909
Fax Number :
Provider Business Practice Location Address
First Line : 6035 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-5018
Country : US
Telephone Number : 843-572-9909
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2016
Last Update Date : 07/17/2016

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Directions to “ DR. ALEXA RICHTMYER WILLIAMSON D.M.D.” Practice Location

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