Organization
PHYSICIAN DISABILITY EXAMINATION SERVICES INC
Active
Other names
Dania Beach West Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANFORD ANTHONY WILLIAMSON DO (CEO/OWNER)
(888) 589-9064
Entity
Organization
Contact information
Practice address
507 W 3RD AVE STE 8A, ALBANY, GA 31701-1945
(888) 589-9064
Mailing address
6600 SUGARLOAF PKWY, SUITE 400 #290, DULUTH, GA 30097-4452
(888) 589-9064
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
OS10135
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-106-500
—
FL
Enumeration date
02/12/2011
Last updated
10/28/2022
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