Williams, Randall

Williams, Randall is an individual health care provider with primary practice located at 8060 Wolf River Blvd , Germantown TN 38138-1727. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Williams, Randall can be contacted via phone (901) 271-1000.

Contact Information

Primary practice address
8060 Wolf River Blvd Germantown TN 38138-1727
Phone: (901) 271-1000
Fax: (901) 271-4187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2884 Tennessee

Profile Details

NPI number 1013380013
LBN Legal business name Williams, Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2015
Last updated Nov 12th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013380013 NPPES
Tennessee Other 2884 PA LICENSURE

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