Individual
TANESHA MAE MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 N POST RD STE 4, INDIANAPOLIS, IN 46219-4225
(317) 405-8833
Mailing address
10585 CORDIFF CT, NOBLESVILLE, IN 46060-4896
(317) 250-6696
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
71012351A
IN
2084P0800X
Psychiatry Physician
Primary
71012351A
IN
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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