Individual
BENNETT HILLSMAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2205 GREENTREE N, CLARKSVILLE, IN 47129-8957
(812) 283-4441
(812) 288-2605
Mailing address
PO BOX 776351, CHICAGO, IL 60677-5098
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01035129A
IN
207R00000X
Internal Medicine Physician
Primary
01035129A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042286
ANTHEM
—
01
—
0101174
UNITED HEALTHCARE
—
01
—
020012987
RAILROAD MEDICARE
IN
05
—
100261390A
—
IN
01
—
10817439
CAQH
—
01
—
4237782
AETNA
—
01
—
IN2570052
MEDICARE
IN
Enumeration date
04/08/2006
Last updated
04/02/2024
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