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Individual

DR. DARREN RAY WILLIAMS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1100 POPLAR VIEW LN N, SUITE 1, COLLIERVILLE, TN 38017-9323
(901) 854-4422
(901) 854-4420
Mailing address
1165 IRWINS GATE DR, COLLIERVILLE, TN 38017-3672
(901) 861-2750

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS5359
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3062952
BLUECROSS/BLUESHIELD ID
TN
01
874338
UNITED CONCORDIA NUMBER
TN
Enumeration date
07/05/2005
Last updated
07/09/2007
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