Individual
DR. KELLY G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8030
(615) 848-1182
Mailing address
1272 GARRISON DR, MURFREESBORO, TN 37129-2598
(615) 867-8030
(615) 848-1182
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000038812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508421
—
TN
01
—
3896201
MEDICARE INDIVIDUAL PTAN
TN
Enumeration date
07/08/2005
Last updated
06/26/2020
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