Individual
PHYLLIS H WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.N.P.
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006
(803) 434-3800
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN1183
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
APN1183
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0654
—
SC
Enumeration date
08/11/2005
Last updated
11/02/2018
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