Organization
TAMI O WILLIAMS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMI O WILLIAMS MD (OWNER)
(573) 334-0515
Entity
Organization
Contact information
Practice address
3262 LEXINGTON AVE, CAPE GIRARDEAU, MO 63701-2609
(573) 334-0515
(573) 334-1120
Mailing address
PO BOX 2076, CAPE GIRARDEAU, MO 63702-2076
(573) 334-0515
(573) 334-1120
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2000156016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128569
BLUE CROSS PROVIDER #
MO
01
—
1863120
COVENTRY FIRST HEALTH
MO
01
—
434499
HEALTHLINK PROVIDER #
MO
Enumeration date
07/05/2007
Last updated
10/16/2007
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