Organization
MARK B WILLIAMSON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BASCOM WILLIAMSON M.D. (OWNER)
(704) 838-7091
Entity
Organization
Contact information
Practice address
218 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1930
(704) 838-7091
(704) 838-7093
Mailing address
PO BOX 746, STATESVILLE, NC 28687-0746
(704) 838-7091
(704) 838-7093
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9700161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE5245
MEDICARE RAILROAD
—
Enumeration date
10/18/2007
Last updated
02/15/2008
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