Individual
JOHN T WILLIAMSON
Active
Individual
JOHN T WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
00753
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00275072
MEDICARE RAILROAD PTAN
—
Enumeration date
03/24/2006
Last updated
02/26/2008
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