Organization
PERSONALIZED SPINE & PAIN CARE P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYASHA L'DAIRE WILLIAMS-SHARRON M.D. (OWNER)
(866) 301-4762
Entity
Organization
Contact information
Practice address
1160 VARNUM ST NE, SUITE 212, WASHINGTON, DC 20017-2107
(202) 507-8444
(202) 507-8503
Mailing address
PO BOX 29397, WASHINGTON, DC 20017-0397
(866) 301-4762
Taxonomy
Speciality
Code
Description
License number
State
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0070038
MD
Other
Enumeration date
03/01/2012
Last updated
07/15/2015
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