Mark A Williams M D Pllc

LBN: Mark A Williams M D Pllc
Mark A Williams M D Pllc is an health care organization with primary practice located at 770 Estate Pl , Memphis TN 38120-0600. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Surgery, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is the primary health care specialty. Mark A Williams M D Pllc can be contacted via phone (901) 287-4030, or through Williams, Mark A via phone (901) 287-4030.

Contact Information

Primary practice address
770 Estate Pl Memphis TN 38120-0600
Phone: (901) 287-4030
Fax: (901) 287-4094
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mark A Doctor of Medicine (MD)
Phone: (901) 287-4030

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD000000184448 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X MD000000184448 Tennessee

Profile Details

NPI number 1437319621
LBN Legal business name Mark A Williams M D Pllc
DBA Doing business as
Authorized official Williams, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2008
Last updated Jun 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437319621 NPPES
Tennessee Other 4038478 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 128654 BLUE CROSS BLUE SHIELD
Tennessee Other 1599052009 BLUE CROSS BLUE SHIELD

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