Individual
MR. RANDALL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2884
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2884
PA LICENSURE
TN
Enumeration date
11/12/2015
Last updated
11/12/2015
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