Organization
ROGER TODD WILLIAMS MD PSC
Active
Other names
Doctors Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER TODD WILLIAMS M.D. (OWNER/ PHYSICIAN)
(270) 773-3737
Entity
Organization
Contact information
Practice address
400 N DIXIE HWY, CAVE CITY, KY 42127-9512
(270) 773-3737
(270) 773-3738
Mailing address
400 N DIXIE HWY, CAVE CITY, KY 42127-9512
(270) 773-3737
(270) 773-3738
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
37488
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000299382
BC/BS PIN
KY
05
—
64058233
—
KY
01
—
DB3991
RAILROAD MEDICARE
KY
Enumeration date
05/09/2006
Last updated
11/18/2008
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