Individual
CHRISTOPHER DEVON WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 HARRISON ST STE 460, JOHNSON CITY, NY 13790
(607) 763-8101
(607) 763-8049
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-1005
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
022018
NY
363AS0400X
Surgical Physician Assistant
PA 370
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51527772
BCBS
AL
05
—
891010200
—
AL
Enumeration date
12/15/2005
Last updated
06/18/2018
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