Provider Demographics
NPI:1437174521
Name:WILLIAMS, ROBERT W (CRNA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:W
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:1331 UNION AVE
Mailing Address - Street 2:SUITE 927
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-3513
Mailing Address - Country:US
Mailing Address - Phone:901-844-1590
Mailing Address - Fax:901-844-1592
Practice Address - Street 1:100 NORTHCREST DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:TN
Practice Address - Zip Code:37172-3927
Practice Address - Country:US
Practice Address - Phone:615-643-2706
Practice Address - Fax:615-643-2706
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN26691367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered