Organization
ROGER TODD WILLIAMS MD PSC
Active
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
Update your record
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