Organization
WILLIAMS SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRIS EDWARDS WILLIAMS DDS MD (OWNER)
(901) 362-6103
Entity
Organization
Contact information
Practice address
6621 KIRBY CENTER COVE, MEMPHIS, TN 38115
(901) 362-6103
(901) 362-6694
Mailing address
6621 KIRBY CENTER COVE, MEMPHIS, TN 38115
(901) 362-6103
(901) 362-6694
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS2570
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OS168
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225132590
NPI
TN
01
—
3724884
MEDICARE GROUP
TN
Enumeration date
03/27/2008
Last updated
04/20/2008
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