Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD422212 | PA |
Y | 207V00000X | Obstetrician & Gynecologist | ME127237 | FL |
NPI | 1003889668 |
---|---|
Provider Name | Dr. Beth P Williams |
First Address | Lakeland, FL 33805 |
Second Address | Lakeland, FL 33803-7952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 29/09/2016 |