Provider Demographics
NPI:1003876509
Name:WILLIAMS, TAMMI LENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMI
Middle Name:LENEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMMI
Other - Middle Name:LENEE
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6730
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85246-6730
Mailing Address - Country:US
Mailing Address - Phone:480-821-3600
Mailing Address - Fax:805-432-0334
Practice Address - Street 1:5656 S POWER RD STE 137
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85295-8490
Practice Address - Country:US
Practice Address - Phone:480-821-3600
Practice Address - Fax:480-543-2033
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ55489207V00000X
NC35652207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ097220Medicaid
NC750596OtherUNITED HEALTHCARE
NC32888OtherPARTNERS
NC37206OtherBC/BS
NCF44280Medicare UPIN
NC8937206Medicaid