Williams, Keith D
Williams, Keith D is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Williams, Keith D can be contacted via phone (901) 759-3100.Contact Information
Primary practice address
1400 S Germantown Rd
Germantown TN 38138-2205
Phone: (901) 759-3100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 21571 | Tennessee |
Profile Details
NPI number | 1154318947 |
---|---|
LBN Legal business name | Williams, Keith D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2005 |
Last updated | Oct 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154318947 | NPPES |
Mississippi | MEDICAID | 00124453 | |
Mississippi | MEDICAID | 004420759 | |
Mississippi | MEDICAID | Q016958 | |
Mississippi | MEDICAID | 120338001 |
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