Individual
MR. CHARLES WILLIAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 EDWARDS RD STE 103, CINCINNATI, OH 45209-1262
(859) 445-6201
Mailing address
913 DUSTWHIRL DR, UNION, KY 41091-7919
(859) 445-6201
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
9769518
AL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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