Provider Demographics
NPI:1487631073
Name:WILLIAMS, ROBERT HENRY (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HENRY
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:605 GLENWOOD DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37404-1108
Mailing Address - Country:US
Mailing Address - Phone:423-495-2690
Mailing Address - Fax:423-495-2698
Practice Address - Street 1:605 GLENWOOD DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1108
Practice Address - Country:US
Practice Address - Phone:423-495-2690
Practice Address - Fax:423-495-2698
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2009-01-15
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Provider Licenses
StateLicense IDTaxonomies
TN12150207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3178196Medicare UPIN