Provider Demographics
NPI:1043682131
Name:SHERRIE G. WILLIAMSON D.O., PLLC
Entity Type:Organization
Organization Name:SHERRIE G. WILLIAMSON D.O., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-701-1010
Mailing Address - Street 1:2416 TEE CIR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6378
Mailing Address - Country:US
Mailing Address - Phone:405-701-1010
Mailing Address - Fax:405-701-1011
Practice Address - Street 1:2416 TEE CIR
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6378
Practice Address - Country:US
Practice Address - Phone:405-701-1010
Practice Address - Fax:405-701-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1588363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1033260823OtherNPI