Provider Demographics
NPI:1659653012
Name:WILLIAMS, SARAH WOMACK (AUD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:WOMACK
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7165 GETWELL RD
Mailing Address - Street 2:BUILDING H, SUITE 1
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38672-9618
Mailing Address - Country:US
Mailing Address - Phone:662-349-7676
Mailing Address - Fax:662-349-7679
Practice Address - Street 1:7165 GETWELL RD
Practice Address - Street 2:BUILDING H, SUITE 1
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38672-9618
Practice Address - Country:US
Practice Address - Phone:662-349-7676
Practice Address - Fax:662-349-7679
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA3577231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist