Williamson, Teresa A
Williamson, Teresa A is an individual health care provider with primary practice located at 2819 Denny Ave. , Pascagoula MS 39581-5320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williamson, Teresa A can be contacted via phone (228) 762-3466.Contact Information
Primary practice address
2819 Denny Ave.
Pascagoula MS 39581-5320
Phone: (228) 762-3466
Fax: (228) 762-6349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11797 | Mississippi |
Profile Details
| NPI number | 1710989678 |
|---|---|
| LBN Legal business name | Williamson, Teresa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jun 6th, 2013 - about 12 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 | 1710989678 | NPPES |
| Mississippi | Other | 5440159 | AETNA ID# |
| Mississippi | MEDICAID | 00116831 | AETNA ID# |
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