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Individual

DR. TERRIE S WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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
Update your record

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