Provider Demographics
NPI:1912984790
Name:WILLIAMSON, DON E (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:E
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:820 ST. SEBASTIAN WAY
Mailing Address - Street 2:SUITE 8A
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30901
Mailing Address - Country:US
Mailing Address - Phone:706-722-6900
Mailing Address - Fax:706-722-5118
Practice Address - Street 1:820 ST. SEBASTIAN WAY
Practice Address - Street 2:SUITE 8A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901
Practice Address - Country:US
Practice Address - Phone:706-722-6900
Practice Address - Fax:706-722-5118
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA034079207RN0300X
SC30727207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000535719ARMedicaid
GA000535719HMedicaid
GA000535719AKMedicaid
GA000535719ASMedicaid
GA000535719ATMedicaid
GA1912984790OtherBLUE CROSS BLUE SHIELD
GA390002661OtherRAILROAD MEDICARE
GA000535719AQMedicaid
GA338219OtherWELLCARE
GA000535719QMedicaid
GA000535719ALMedicaid
GA000535719APMedicaid
GA000535719NMedicaid
GA000535719PMedicaid
GA10058001OtherAMERIGROUP
GA000535719AAMedicaid
GA000535719AOMedicaid
GA000535719MMedicaid
GA000535719RMedicaid
SCG34079Medicaid
GA390002661OtherRAILROAD MEDICARE
GA39BDBRDMedicare PIN
GA338219OtherWELLCARE
GA000535719MMedicaid