Individual
DR. THOMAS A. WILLIAMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1532 LONE OAK RD STE 415, PADUCAH, KY 42003-7943
(270) 442-0103
(270) 442-0109
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102
(419) 251-2032
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
235006-1
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
35503
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
56987
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511797
—
TN
01
—
4203046
BCBS
TN
05
—
7100089870
—
KY
01
—
P00684692
RR MEDICARE
TN
Enumeration date
09/15/2005
Last updated
11/05/2024
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