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Organization
ALTHY LIVING PLUS LLC
Active
Organization
ALTHY LIVING PLUS LLC
Active
Other names
Paul Williams MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE ANN BARTON FNP (NURSE PRACTITIONER)
(901) 861-4705
Entity
Organization
Contact information
Practice address
335 POPLAR VIEW LN E # 1, COLLIERVILLE, TN 38017-3192
(901) 861-4705
(901) 853-3174
Mailing address
335 POPLAR VIEW LN E # 1, COLLIERVILLE, TN 38017-3192
(901) 861-4705
(901) 853-3174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619998259
PRIMARY CARE
—
Enumeration date
06/11/2019
Last updated
06/11/2019
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