Provider Demographics
NPI:1477016822
Name:WILLIAMS, NATHAN NORMAN (DO)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:NORMAN
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:36550 CHESTER RD APT 5706
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4018
Mailing Address - Country:US
Mailing Address - Phone:440-213-1271
Mailing Address - Fax:
Practice Address - Street 1:29000 CENTER RIDGE ROAD
Practice Address - Street 2:BUILDING 2, SUITE 150
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5219
Practice Address - Country:US
Practice Address - Phone:440-827-5985
Practice Address - Fax:440-827-5412
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH58.030638207P00000X
OH34.015675207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine