# C B WILLIAMSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Halifax Orthopedic Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043690902
- **Authorized official:** CHARLES B WILLIAMSON MD (SOLE PROPRIETOR)
- **Authorized official phone:** (386) 760-2888

## Contact information

- **Practice address:** 3635 S CLYDE MORRIS BLVD, STE 600, PORT ORANGE, FL 32129-2300
- **Practice address phone:** (386) 760-2888
- **Practice address fax:** (386) 760-8866
- **Mailing address:** 3635 S CLYDE MORRIS BLVD, STE 600, PORT ORANGE, FL 32129-2300
- **Mailing address phone:** (386) 760-2888
- **Mailing address fax:** (386) 760-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | ME33731 | FL | Yes |

## Other

- **Enumeration date:** 06/05/2015
- **Last updated:** 06/05/2015