| Williams Surgery Center | |
|
6621 Kirby Center Cove Memphis TN 38115 | |
| (901) 362-6103 | |
| (901) 362-6694 |
| Full Name | Williams Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6621 Kirby Center Cove, Memphis, Tennessee |
| Authorized Official Name and Position | Harris Edwards Williams (OWNER) |
| Authorized Official Contact | 9013626103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Williams Surgery Center 6621 Kirby Center Cove Memphis TN 38115 Ph: (901) 362-6103 | Williams Surgery Center 6621 Kirby Center Cove Memphis TN 38115 Ph: (901) 362-6103 |
| NPI Number | 1669644878 |
|---|---|
| Provider Enumeration Date | 03/27/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644878 | NPI | - | NPPES |
| 3724884 | Other | TN | MEDICARE GROUP |
| 1225132590 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS2570 (Tennessee) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | OS168 (Tennessee) | Primary |
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