Provider Demographics
NPI:1629415930
Name:WILLIAMS, GERALYNN ALICE (MD)
Entity Type:Individual
Prefix:MS
First Name:GERALYNN
Middle Name:ALICE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:UT INTERNAL MEDICINE RESIDENCY, 975 E 3RD ST
Mailing Address - Street 2:HOSPITAL BOX 94
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2104
Mailing Address - Country:US
Mailing Address - Phone:423-778-2998
Mailing Address - Fax:423-778-2611
Practice Address - Street 1:960 E 3RD ST
Practice Address - Street 2:UT COLLEGE OF MEDICINE CHATTANOOGA
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-2104
Practice Address - Country:US
Practice Address - Phone:423-778-2998
Practice Address - Fax:423-778-2611
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program