Individual
MRS. MARY WHITESIDE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.
Contact information
Practice address
415 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6034
(423) 975-2200
Mailing address
309 BETHANY DR, JONESBOROUGH, TN 37659-5691
(423) 753-0158
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000131286
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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