Provider Demographics
NPI:1972596690
Name:WILLIAMSON, BARBARA CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CHRISTINE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:WILLIAMSON
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 493
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20768-0493
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1400 MERCANTILE LN
Practice Address - Street 2:STE#110
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5341
Practice Address - Country:US
Practice Address - Phone:301-772-9775
Practice Address - Fax:301-772-8395
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031566207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD348025OtherUNITEDHEALTHCARE/MAMSI
MD560789OtherAETNA
MD9601-0001OtherCAREFIRSTD.C.
MD6732BCOtherCAREFIRST MARYLAND
MD348025OtherUNITEDHEALTHCARE/MAMSI
MDC61954Medicare UPIN