Provider Demographics
NPI:1154843100
Name:WILLIAMS, EMILY (PA)
Entity Type:Individual
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First Name:EMILY
Middle Name:
Last Name:WILLIAMS
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Gender:F
Credentials:PA
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Mailing Address - Street 1:5141 VIRGINIA WAY STE 350
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2319
Mailing Address - Country:US
Mailing Address - Phone:630-519-6543
Mailing Address - Fax:615-277-9055
Practice Address - Street 1:1601 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-1032
Practice Address - Country:US
Practice Address - Phone:765-362-1212
Practice Address - Fax:765-361-0210
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2023-04-06
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant