Individual
MICHAEL TYELAR WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 S WHITE ST, ATHENS, TN 37303-4732
(423) 745-4322
Mailing address
2522 HIGHWAY 39 E, ENGLEWOOD, TN 37329-5362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37798
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080012905B
—
GA
05
—
38893201
—
TN
01
—
4155984
BCBS
TN
05
—
5904043
—
NC
Enumeration date
12/22/2005
Last updated
02/04/2009
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