| Vernon Williams, M.d., Llc | |
|
1460 S High St Columbus OH 43207-1047 | |
| (614) 725-1901 | |
| (614) 725-1904 |
| Full Name | Vernon Williams, M.d., Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1460 S High St, Columbus, Ohio |
| Authorized Official Name and Position | Vernon Williams (OWNER) |
| Authorized Official Contact | 6147251901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Williams, M.d., Llc 1460 S High St Columbus OH 43207-1047 Ph: (614) 725-1901 | Vernon Williams, M.d., Llc 1460 S High St Columbus OH 43207-1047 Ph: (614) 725-1901 |
| NPI Number | 1639279722 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 0345389458 |
|---|---|
| Medicare Enrollment ID | O20091203000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639279722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.076195 (Ohio) | Primary |
| Provider Name | Vernon Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962500876 PECOS PAC ID: 3678597218 Enrollment ID: I20060123000009 |
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