# SHERRIE G. WILLIAMSON DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104856350
- **Authorized official:** DR. SHERRIE G. WILLIAMSON D.O. (OWNER/PRESIDENT)
- **Authorized official phone:** (405) 701-1010

## Contact information

- **Practice address:** 3201 W TECUMSEH RD, STE.230, NORMAN, OK 73072-1818
- **Practice address phone:** (405) 701-1010
- **Practice address fax:** (405) 701-1011
- **Mailing address:** 3201 W TECUMSEH RD, STE. 230, NORMAN, OK 73072-1818
- **Mailing address phone:** (405) 701-1010
- **Mailing address fax:** (405) 701-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | 2988 | OK | — |
| 261QM2500X | Medical Specialty Clinic/Center | 2988 | OK | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 12/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00R08J | MEDICARE ID | OK |