T L Williams Md Llc | |
703 Glen Lake Dr Bowie MD 20716-3564 | |
(301) 332-9986 | |
Not Available |
Full Name | T L Williams Md Llc |
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Speciality | Family Medicine |
Location | 703 Glen Lake Dr, Bowie, Maryland |
Authorized Official Name and Position | Tahani Williams (MD) |
Authorized Official Contact | 3013329986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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T L Williams Md Llc 703 Glen Lake Dr Bowie MD 20716-3564 Ph: (301) 332-9986 | T L Williams Md Llc 703 Glen Lake Dr Bowie MD 20716-3564 Ph: (301) 332-9986 |
NPI Number | 1306513122 |
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Provider Enumeration Date | 08/28/2021 |
Last Update Date | 09/03/2024 |
Medicare PECOS PAC ID | 0143628917 |
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Medicare Enrollment ID | O20211007003695 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306513122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
Provider Name | Tahani L Williams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144492471 PECOS PAC ID: 5193882223 Enrollment ID: I20140527001424 |
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