Organization
PHYSICIAN DISABILITY EXAMINATION SERVICES INC
Active
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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