Individual
DR. TERRIE S WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4912 US HIGHWAY 42, SUITE 208, LOUISVILLE, KY 40222-6349
(502) 426-9565
(502) 425-3240
Mailing address
4912 US HIGHWAY 42, SUITE 208, LOUISVILLE, KY 40222-6349
(502) 426-9565
(502) 425-3240
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24086
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000049884
ANTHEM
KY
01
—
2528449
CIGNA
KY
01
—
4221695
AETNA
KY
05
—
64240864
—
KY
01
—
KO11398
TRICARE STANDARD
KY
Enumeration date
02/27/2007
Last updated
07/08/2007
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