Individual
DR. SHERON R WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2355 POPLAR LEVEL RD, SUITE G1-11, LOUISVILLE, KY 40217-1395
(502) 636-8121
(502) 636-8128
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25238
KY
207RX0202X
Medical Oncology Physician
25238
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000801698
ANTHEM - NCMA
KY
01
—
009314
SIHO - NCMA
KY
05
—
200092790B
—
IN
01
—
50016305
PASSPORT
KY
01
—
50104168
PASSPORT - NCMA
KY
05
—
64252380
—
KY
Enumeration date
11/01/2006
Last updated
05/25/2022
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