Individual
KEITH A WILLIAMSON
Active
Individual
KEITH A WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26502
AL
207W00000X
Ophthalmology Physician
47442
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933593
—
AL
05
—
051556533
—
AL
01
—
51002085
BCBSAL MAIN PROVIDER #
AL
01
—
51531153
2ND BLUE CROSS PROVIDER #
AL
Enumeration date
04/27/2006
Last updated
08/01/2011
Update your record
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