Individual
LARRY V WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
445 CLIFTY DR, MADISON, IN 47250-1607
(812) 273-7700
(812) 273-2827
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 273-7700
(812) 273-2827
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01023516
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042196
ANTHEM BCBS
IN
05
—
100148550A
—
IN
01
—
110184012
MEDICARE RAILROAD
—
01
—
265769
FEDERAL BLACK LUNG
—
01
—
410013P
SIHO
IN
01
—
4370909
AETNA
—
Enumeration date
07/11/2006
Last updated
04/23/2015
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