Individual
AVERY DANIELLE WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 SHAFFER ST, WILLIAMSPORT, PA 17702-6727
(570) 327-1335
(570) 321-7800
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058611
PA
363A00000X
Physician Assistant
OA003982
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032346410001
—
PA
Enumeration date
10/11/2016
Last updated
10/18/2022
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