MEDICARE: DR. DANA C WILLIAMSON D.C.

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	111NN0400X	Neurology Chiropractor	0104555922	VA

General Provider Information

NPI Number	:	1962409557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA C WILLIAMSON D.C.

Provider Business Mailing Address
First Line	:	7951 TRUMPETVINE LN
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23111-7536
Country	:	US
Telephone Number	:	804-852-5689
Fax Number	:

Provider Business Practice Location Address
First Line	:	7481 RIGHT FLANK RD.
Second Line	:	SUITE 100
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3834
Country	:	US
Telephone Number	:	804-746-7580
Fax Number	:	804-746-7579

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/09/2007

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