Provider Demographics
NPI:1780047720
Name:WILLIAMS, ALEXIS ANNA (MD)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:ANNA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:830 OLD LANCASTER RD STE 209
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3118
Mailing Address - Country:US
Mailing Address - Phone:610-642-3005
Mailing Address - Fax:484-337-3559
Practice Address - Street 1:830 OLD LANCASTER RD STE 209
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3118
Practice Address - Country:US
Practice Address - Phone:610-642-3005
Practice Address - Fax:484-337-3559
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
PAMD482459207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program