Individual
WAYNE E. WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1029 MEDICAL CENTER CIR STE 202, MAYFIELD, KY 42066-1189
(270) 247-7795
(270) 251-4551
Mailing address
1029 MEDICAL CENTER CIR STE 202, MAYFIELD, KY 42066-1189
(270) 247-7795
(800) 574-6540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21371
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64213713
—
KY
01
—
K348400
MEDICARE PTAN
KY
Enumeration date
09/03/2006
Last updated
01/31/2022
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