Williams, Timothy M

Williams, Timothy M is an individual health care provider with primary practice located at 135 W Ravine Rd Suite 5-B, Kingsport TN 37660-3847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Williams, Timothy M can be contacted via phone (423) 224-3460.

Contact Information

Primary practice address
135 W Ravine Rd Suite 5-B Kingsport TN 37660-3847
Phone: (423) 224-3460
Fax: (423) 224-3465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20187 Tennessee

Profile Details

NPI number 1366443806
LBN Legal business name Williams, Timothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Apr 12th, 2017 - about 8 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 1366443806 NPPES
Other 3046114 BLUE CROSS OF TN
Other 00013859 BLUE CROSS OF TN
MEDICAID 5747074 BLUE CROSS OF TN
Other 050039759 BLUE CROSS OF TN
Other 069842 BLUE CROSS OF TN
Other TN0100 BLUE CROSS OF TN
MEDICAID 3056626 BLUE CROSS OF TN

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