Individual
TISHA ABERCROMBIE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S CHURCH ST STE 4, SPARTANBURG, SC 29306-3306
(864) 774-7001
(864) 499-3742
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
049713
GA
207Q00000X
Family Medicine Physician
Primary
33323
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000912194C
—
GA
01
—
33323
MEDICAL LICENSE
SC
05
—
333231
—
SC
Enumeration date
08/25/2006
Last updated
07/13/2023
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