Organization Name: | WILLIAMSON MEDICAL GROUP INC |
NPI Number: | 1407023880 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN FRANCIS (PRESIDENT) |
Mailing Address: | 306 Hospital Dr Ste. 202-c South Williamson |
State: | KY US |
Postal Code: | 415034095 |
Phone Number: | 6062371450 |
Fax Number: | 6062371451 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 01/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 70936 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |