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Individual

DR. ROGER TODD WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 N DIXIE HWY, CAVE CITY, KY 42127-9546
(270) 773-2600
(270) 361-5101
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 773-2600
(270) 361-5101

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
37488
KY
207Q00000X
Family Medicine Physician
Primary
37488
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64058233
KY
Enumeration date
05/12/2006
Last updated
10/10/2016
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