Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC000189 | TN |
NPI | 1396837027 |
---|---|
Provider Name | Dr. C Stephen Williams |
First Address | Nashville, TN 37214-3530 |
Second Address | Nashville, TN 37214-3530 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |