Provider Demographics
NPI:1548307788
Name:WILLIAMS, PAUL PARKER (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:PARKER
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:335 POPLAR VIEW LN E
Mailing Address - Street 2:#1
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3192
Mailing Address - Country:US
Mailing Address - Phone:901-861-4705
Mailing Address - Fax:901-853-3174
Practice Address - Street 1:335 POPLAR VIEW LN E
Practice Address - Street 2:#1
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3192
Practice Address - Country:US
Practice Address - Phone:901-861-4705
Practice Address - Fax:901-853-3174
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2014-10-10
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Provider Licenses
StateLicense IDTaxonomies
TN38663207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TND42025Medicare UPIN