Provider Demographics
NPI:1558492082
Name:WILLIAMS, CAROL LEE (RN)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 FAYETTEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:TN
Mailing Address - Zip Code:37019-2072
Mailing Address - Country:US
Mailing Address - Phone:931-276-2754
Mailing Address - Fax:
Practice Address - Street 1:5TH CORDELL HULL FLOOR
Practice Address - Street 2:425 5TH AVENUE NORTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-532-7708
Practice Address - Fax:615-532-2785
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000058126163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health