Organization
LINDA D. WILLIAMSON, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARDELL C GARLAND III (OFFICE MANAGER)
(580) 248-5437
Entity
Organization
Contact information
Practice address
2502 W GORE BLVD, LAWTON, OK 73505-6315
(580) 248-5437
Mailing address
2502 W GORE BLVD, LAWTON, OK 73505-6315
(580) 248-5437
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
19134
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306844816
—
OK
Enumeration date
01/04/2008
Last updated
01/04/2008
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