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Individual

CARMEN YVONNE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4001 OMAHA CT, MOUNT JULIET, TN 37122-3572
(615) 545-3556
Mailing address
4001 OMAHA CT, MOUNT JULIET, TN 37122-3572
(615) 545-3556

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5645
TN
225100000X
Physical Therapist
Primary
PT0000005645
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4164379
BLUE CROSS BLUE SHILD
TN
Enumeration date
03/25/2008
Last updated
02/22/2024
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