Doctor Name: | AUSTIN WILLIAMS |
NPI Number: | 1902881840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 5201 Lee Rd Buzzards Bay, MA - 025421313 |
Business Phone Number: | 5089686729 |
Business Fax Number: | |
Mailing Address: | 60 Massasoit Ave, MASHPEE |
State: | MA |
Postal Code: | 026494422 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |