| Terry E Williams Llc | |
|
500 Memorial Avenue Suite 301 Cumberland MD 21502 | |
| (301) 724-5992 | |
| (301) 724-0505 |
| Full Name | Terry E Williams Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Memorial Avenue, Cumberland, Maryland |
| Authorized Official Name and Position | Terry Edward Williams (SOLE PROPRIETOR) |
| Authorized Official Contact | 3017245992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry E Williams Llc 500 Memorial Avenue Suite 301 Cumberland MD 21502 Ph: (301) 724-5992 | Terry E Williams Llc 500 Memorial Avenue Suite 301 Cumberland MD 21502 Ph: (301) 724-5992 |
| NPI Number | 1386607851 |
|---|---|
| Provider Enumeration Date | 04/07/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022158864 |
|---|---|
| Medicare Enrollment ID | O20091229000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386607851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Terry E Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457455529 PECOS PAC ID: 6204976038 Enrollment ID: I20091229000497 |
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