MEDICARE: PATIENCE A WILLIAMS M D CHILD & ADOLESCENT CENER LLC

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
1	261QP2300X	Primary Care Clinic/Center
2	208000000X	Pediatrics Physician	D0046220	MD

General Provider Information

NPI Number	:	1801323266
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENCE A WILLIAMS M D CHILD & ADOLESCENT CENER LLC

Provider Business Mailing Address
First Line	:	11120 NEW HAMPSHIRE AVE STE 309
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2680
Country	:	US
Telephone Number	:	301-681-7237
Fax Number	:	301-681-7238

Provider Business Practice Location Address
First Line	:	11120 NEW HAMPSHIRE AVE STE 309
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2680
Country	:	US
Telephone Number	:	301-681-7237
Fax Number	:	301-681-7238

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. PATIENCE A WILLIAMS
Credential	:	MD
Telephone Number	:	301-681-7237

Provider Enumeration Date	:	05/16/2017
Last Update Date	:	10/24/2023

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