Provider Demographics
NPI:1679007306
Name:WILLIAMS, KAREN (DPH)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 SOUTHPOINTE WAY STE C
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4595
Mailing Address - Country:US
Mailing Address - Phone:615-962-9394
Mailing Address - Fax:615-962-9714
Practice Address - Street 1:1945 SOUTHPOINTE WAY STE C
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4595
Practice Address - Country:US
Practice Address - Phone:615-962-9394
Practice Address - Fax:615-962-9714
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-19
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6922183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist