Individual
WILLIAMSON T. RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
2121 NW 40TH TER STE C, GAINESVILLE, FL 32605-5814
(352) 378-2525
(352) 377-9772
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5053
(318) 675-4977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN22564
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2011
Last updated
10/04/2018
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