Individual
DR. NICOLE AYANNA WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28279
OK
207R00000X
Internal Medicine Physician
Primary
87195
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200335530A
—
OK
05
—
871952
—
SC
01
—
SCP4015019
MEDICARE PIN
SC
01
—
SCP4019068
MEDICARE PIN
SC
Enumeration date
02/27/2008
Last updated
06/19/2024
Update your record
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