Individual
DR. TERESA A WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2819 DENNY AVE., PASCAGOULA, MS 39581-5320
(228) 762-3466
(228) 762-6349
Mailing address
2819 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 762-3466
(228) 762-6349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11797
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116831
—
MS
01
—
5440159
AETNA ID#
MS
Enumeration date
08/11/2005
Last updated
06/06/2013
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