Individual
MATTHEW WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
(423) 392-6251
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6616
TN
Other
Enumeration date
06/11/2025
Last updated
06/12/2025
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